Vista Pacifica Enterprises,Inc

LBN: Gardena House
Vista Pacifica Enterprises,Inc is an health care organization with primary practice located at 1041 N Gardena Ave , Rialto CA 92376-4214. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Gardena House can be contacted via phone (909) 874-7690, or through Jumonville, Cheryl B via phone (951) 682-4833.

Contact Information

Primary practice address
1041 N Gardena Ave Rialto CA 92376-4214
Phone: (909) 874-7690
Fax: (909) 874-8689
Website:
Map and Directions
Authorized official contact:
Name: Jumonville, Cheryl B
Phone: (951) 682-4833

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1013032606
LBN Legal business name Gardena House
DBA Doing business as Vista Pacifica Enterprises,Inc
Authorized official Jumonville, Cheryl B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
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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