Del Rosa Villa, Llc
LBN: Del Rosa Villa, Llc
Del Rosa Villa, Llc is an health care organization with primary practice located at 2018 Del Rosa Ave , San Bernardino CA 92404-5642. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Del Rosa Villa, Llc can be contacted via phone (909) 885-3261, or through Tyler, Elizabeth Plott via phone (323) 655-6960.
Contact Information
Primary practice address
2018 Del Rosa Ave
San Bernardino CA 92404-5642
Phone: (909) 885-3261
Fax: (909) 888-3871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 240000029 | California |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 240000029 | California |
Profile Details
| NPI number | 1235130915 |
|---|---|
| LBN Legal business name | Del Rosa Villa, Llc |
| DBA Doing business as | |
| Authorized official | Tyler, Elizabeth Plott J.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Mar 5th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235130915 | NPPES |
| California | Other | 55-5195 | MEDICARE ID-TYPE UNSPECIFIED |
| California | MEDICAID | LTC90017G | MEDICARE ID-TYPE UNSPECIFIED |
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