Braswells Ivy Retreat Ltd

LBN: Braswells Ivy Retreat Ltd
Braswells Ivy Retreat Ltd is an health care organization with primary practice located at 2278 Nice Ave , Mentone CA 92359-9655. 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. Braswells Ivy Retreat Ltd can be contacted via phone (909) 794-1189, or through Candelaria, Valerie via phone (909) 446-8754.

Contact Information

Primary practice address
2278 Nice Ave Mentone CA 92359-9655
Phone: (909) 794-1189
Fax: (909) 389-7449
Website:
Map and Directions
Authorized official contact:
Name: Candelaria, Valerie
Phone: (909) 446-8754

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000158 California

Profile Details

NPI number 1750352191
LBN Legal business name Braswells Ivy Retreat Ltd
DBA Doing business as
Authorized official Candelaria, Valerie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 30th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750352191 NPPES
California MEDICAID ZZT05985I
California Other 555025

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