Miravilla Care Center

LBN: David Kleis Iii, Llc
Miravilla Care Center is an health care organization with primary practice located at 9246 Avenida Miravilla , Cherry Valley CA 92223-3835. 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. David Kleis Iii, Llc can be contacted via phone (951) 845-3194, or through Knight, Mae T via phone (951) 845-3184.

Contact Information

Primary practice address
9246 Avenida Miravilla Cherry Valley CA 92223-3835
Phone: (951) 845-3194
Fax: (951) 845-2064
Website:
Map and Directions
Authorized official contact:
Name: Knight, Mae T
Phone: (951) 845-3184

Health care specialties

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

Profile Details

NPI number 1063494276
LBN Legal business name David Kleis Iii, Llc
DBA Doing business as Miravilla Care Center
Authorized official Knight, Mae T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1063494276 NPPES
California MEDICAID ZZT05754G

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