Plymouth Village

LBN: Humangood Norcal
Plymouth Village is an health care organization with primary practice located at 819 Salem Dr , Redlands CA 92373. 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. Humangood Norcal can be contacted via phone (909) 793-1233, or through Winter, Kate via phone (925) 924-7115.

Contact Information

Primary practice address
819 Salem Dr Redlands CA 92373
Phone: (909) 793-1233
Fax: (909) 798-5504
Website:
Map and Directions
Authorized official contact:
Name: Winter, Kate
Phone: (925) 924-7115

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000189 California

Profile Details

NPI number 1578550372
LBN Legal business name Humangood Norcal
DBA Doing business as Plymouth Village
Authorized official Winter, Kate
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated May 30th, 2018 - about 6 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 1578550372 NPPES
California MEDICAID ZZT05914G

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