Habilitative Homes Residential Care Facility

LBN: Habilitative Homes Residential Care Facility
Habilitative Homes Residential Care Facility is an health care organization with primary practice located at 11775 Walnut Rd , Lakeside CA 92040-5624. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Habilitative Homes Residential Care Facility can be contacted via phone (619) 270-4484, or through Larson, David Clarence via phone (619) 456-3742.

Contact Information

Primary practice address
11775 Walnut Rd Lakeside CA 92040-5624
Phone: (619) 270-4484
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larson, David Clarence
Phone: (619) 456-3742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 374603669 California
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X 374603669 California
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 374603669 California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 374603669 California

Profile Details

NPI number 1891167912
LBN Legal business name Habilitative Homes Residential Care Facility
DBA Doing business as
Authorized official Larson, David Clarence
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2015
Last updated Mar 16th, 2016 - about 8 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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