Park View Post Acute

LBN: Ensign Montgomery Llc
Park View Post Acute is an health care organization with primary practice located at 3751 Montgomery Dr , Santa Rosa CA 95405-5214. 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. Ensign Montgomery Llc can be contacted via phone (707) 525-1250, or through Burnam, Soon via phone (949) 540-1249.

Contact Information

Primary practice address
3751 Montgomery Dr Santa Rosa CA 95405-5214
Phone: (707) 525-1250
Fax: (707) 525-1080
Website:
Map and Directions
Authorized official contact:
Name: Burnam, Soon
Phone: (949) 540-1249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 010000062 California

Profile Details

NPI number 1104825520
LBN Legal business name Ensign Montgomery Llc
DBA Doing business as Park View Post Acute
Authorized official Burnam, Soon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 17th, 2021 - about 3 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 1104825520 NPPES
California MEDICAID ZZR06411I

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