Country Manor Healthcare

LBN: Canyon Properties Iii, Llc
Country Manor Healthcare is an health care organization with primary practice located at 11723 Fenton Ave , Lake View Terrace CA 91342-6431. 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. Canyon Properties Iii, Llc can be contacted via phone (818) 899-0251, or through Weldon, Marcia S via phone (818) 899-0251.

Contact Information

Primary practice address
11723 Fenton Ave Lake View Terrace CA 91342-6431
Phone: (818) 899-0251
Fax: (818) 890-5400
Website:
Map and Directions
Authorized official contact:
Name: Weldon, Marcia S
Phone: (818) 899-0251

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 920000026 California

Profile Details

NPI number 1790766376
LBN Legal business name Canyon Properties Iii, Llc
DBA Doing business as Country Manor Healthcare
Authorized official Weldon, Marcia S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 25th, 2014 - about 11 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 1790766376 NPPES
California MEDICAID ZZT05002G

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