Green River Congregate Living

LBN: Green River Congregate Living
Green River Congregate Living is an health care organization with primary practice located at 2405 Independence Cir , Corona CA 92882-5743. 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. Green River Congregate Living can be contacted via phone (702) 874-4484, or through Bonaparte, Patrick via phone (954) 803-0930.

Contact Information

Primary practice address
2405 Independence Cir Corona CA 92882-5743
Phone: (702) 874-4484
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonaparte, Patrick Doctor of Medicine (MD)
Phone: (954) 803-0930

Health care specialties

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

Profile Details

NPI number 1427628759
LBN Legal business name Green River Congregate Living
DBA Doing business as
Authorized official Bonaparte, Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2021
Last updated Jun 29th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427628759 NPPES
New York MEDICAID 1508260340

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