Antelope Valley Care Center

LBN: Geri-Care Iv, Llc
Antelope Valley Care Center is an health care organization with primary practice located at 44567 15Th St W , Lancaster CA 93534-2803. 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. Geri-Care Iv, Llc can be contacted via phone (661) 949-5524, or through Terrell, Richard L via phone (661) 949-5524.

Contact Information

Primary practice address
44567 15Th St W Lancaster CA 93534-2803
Phone: (661) 949-5524
Fax: (661) 949-5140
Website:
Map and Directions
Authorized official contact:
Name: Terrell, Richard L MBA
Phone: (661) 949-5524

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 920000122 California

Profile Details

NPI number 1609857275
LBN Legal business name Geri-Care Iv, Llc
DBA Doing business as Antelope Valley Care Center
Authorized official Terrell, Richard L MBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 19th, 2011 - about 14 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 1609857275 NPPES
California MEDICAID LTM90003G

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