White Blossom Care Center

LBN: Hawthorne Holdings, Llc
White Blossom Care Center is an health care organization with primary practice located at 1990 Fruitdale Ave , San Jose CA 95128-2709. 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. Hawthorne Holdings, Llc can be contacted via phone (408) 998-8447, or through Hubbard, Paul via phone (760) 471-0388.

Contact Information

Primary practice address
1990 Fruitdale Ave San Jose CA 95128-2709
Phone: (408) 998-8447
Fax: (408) 288-9812
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Paul
Phone: (760) 471-0388

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 070000120 California

Profile Details

NPI number 1720024391
LBN Legal business name Hawthorne Holdings, Llc
DBA Doing business as White Blossom Care Center
Authorized official Hubbard, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 25th, 2014 - about 10 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 1720024391 NPPES
California MEDICAID 1720024391
California MEDICAID ZZR55068I

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