Blackstar Division

LBN: Harbor Healthcare Inc
Blackstar Division is an health care organization with primary practice located at 7642 Black Star Ln , La Palma CA 90623-1417. 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. Harbor Healthcare Inc can be contacted via phone (562) 866-7054, or through Wertz, Cheryl Loflin via phone (562) 866-7054.

Contact Information

Primary practice address
7642 Black Star Ln La Palma CA 90623-1417
Phone: (562) 866-7054
Fax: (562) 867-8053
Website:
Map and Directions
Authorized official contact:
Name: Wertz, Cheryl Loflin
Phone: (562) 866-7054

Health care specialties

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

Profile Details

NPI number 1285762625
LBN Legal business name Harbor Healthcare Inc
DBA Doing business as Blackstar Division
Authorized official Wertz, Cheryl Loflin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285762625 NPPES
California MEDICAID LTC80093G

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