Ontario Healthcare Center

LBN: Broadwater Ontario Care Center, Llc
Ontario Healthcare Center is an health care organization with primary practice located at 1661 S Euclid Ave , Ontario CA 91762-5826. 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 Ontario Care Center, Llc can be contacted via phone (909) 984-6713, or through Easton, Douglas via phone (818) 368-1862.

Contact Information

Primary practice address
1661 S Euclid Ave Ontario CA 91762-5826
Phone: (909) 984-6713
Fax: (909) 984-5254
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 240000181 California

Profile Details

NPI number 1316080260
LBN Legal business name Broadwater Ontario Care Center, Llc
DBA Doing business as Ontario 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 1316080260 NPPES
California MEDICAID 1316080260

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