Heritage Park Nursing Center

LBN: Ghc Of Upland Snf, Llc
Heritage Park Nursing Center is an health care organization with primary practice located at 275 Garnet Way , Upland CA 91786-5932. 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. Ghc Of Upland Snf, Llc can be contacted via phone (909) 949-4887, or through Wellborn, Robyne via phone (760) 315-0984.

Contact Information

Primary practice address
275 Garnet Way Upland CA 91786-5932
Phone: (909) 949-4887
Fax: (909) 949-8761
Website:
Map and Directions
Authorized official contact:
Name: Wellborn, Robyne
Phone: (760) 315-0984

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000465 California

Profile Details

NPI number 1770768509
LBN Legal business name Ghc Of Upland Snf, Llc
DBA Doing business as Heritage Park Nursing Center
Authorized official Wellborn, Robyne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated May 22nd, 2024 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770768509 NPPES
California MEDICAID LTC55514F

Popular Providers