Centinela Grand, Inc.

LBN: Centinela Grand, Inc.
Centinela Grand, Inc. is an health care organization with primary practice located at 2225 N. Perris Blvd. , Perris CA 92571-4513. 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. Centinela Grand, Inc. can be contacted via phone (951) 657-2135, or through Rollins, Vicki P. via phone (951) 657-2135.

Contact Information

Primary practice address
2225 N. Perris Blvd. Perris CA 92571-4513
Phone: (951) 657-2135
Fax: (951) 657-0548
Website:
Map and Directions
Authorized official contact:
Name: Rollins, Vicki P. Registered Nurse (RN)
Phone: (951) 657-2135

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 250000222 California

Profile Details

NPI number 1033431374
LBN Legal business name Centinela Grand, Inc.
DBA Doing business as
Authorized official Rollins, Vicki P. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2010
Last updated Mar 12th, 2012 - about 12 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 1033431374 NPPES
California MEDICAID 250000222

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