Braswell'S Community Convalescent Ltd
LBN: Braswell'S Community Convalescent Ltd
Braswell'S Community Convalescent Ltd is an health care organization with primary practice located at 13542 2Nd St , Yucaipa CA 92399-5396. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Braswell'S Community Convalescent Ltd can be contacted via phone (909) 795-2421, or through Candelaria, Valerie via phone (909) 446-8754.
Contact Information
Primary practice address
13542 2Nd St
Yucaipa CA 92399-5396
Phone: (909) 795-2421
Fax: (909) 795-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 240000236 | California |
Profile Details
| NPI number | 1053382598 |
|---|---|
| LBN Legal business name | Braswell'S Community Convalescent Ltd |
| DBA Doing business as | |
| Authorized official | Candelaria, Valerie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jun 6th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053382598 | NPPES |
| California | Other | 056365 | MEDICARE PROVIDER NUMBER |
| California | MEDICAID | ZZT18152G | MEDICARE PROVIDER NUMBER |
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