Edgewater Skilled Nursing Center

LBN: Edgewater Health Care, Inc.
Edgewater Skilled Nursing Center is an health care organization with primary practice located at 2625 E 4Th St , Long Beach CA 90814-1299. 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. Edgewater Health Care, Inc. can be contacted via phone (949) 240-2423, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
2625 E 4Th St Long Beach CA 90814-1299
Phone: (949) 240-2423
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 940000058 California

Profile Details

NPI number 1629053913
LBN Legal business name Edgewater Health Care, Inc.
DBA Doing business as Edgewater Skilled Nursing Center
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 5th, 2024 - about 5 months 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 1629053913 NPPES
California MEDICAID ZZT05387I

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