Bella Vista Healthcare Center

LBN: Broadwater Bella Vista Care Center, Llc
Bella Vista Healthcare Center is an health care organization with primary practice located at 933 E Deodar St , Ontario CA 91764-1309. 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. Broadwater Bella Vista Care Center, Llc can be contacted via phone (909) 985-2731, or through Easton, Douglas via phone (818) 368-1862.

Contact Information

Primary practice address
933 E Deodar St Ontario CA 91764-1309
Phone: (909) 985-2731
Fax: (909) 985-1414
Website:
Map and Directions
Authorized official contact:
Name: Easton, Douglas
Phone: (818) 368-1862

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000113 California

Profile Details

NPI number 1679616528
LBN Legal business name Broadwater Bella Vista Care Center, Llc
DBA Doing business as Bella Vista Healthcare Center
Authorized official Easton, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679616528 NPPES
California MEDICAID 1679616528

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