Knolls West Enterprises

LBN: Knolls West Enterprises
Knolls West Enterprises is an health care organization with primary practice located at 16890 Green Tree Blvd , Victorville CA 92395-5618. 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. Knolls West Enterprises can be contacted via phone (760) 245-5361, or through Sanchez, Stacy Jean via phone (760) 245-5361.

Contact Information

Primary practice address
16890 Green Tree Blvd Victorville CA 92395-5618
Fax: (760) 245-6247
Website:
Authorized official contact:
Name: Sanchez, Stacy Jean

Health care specialties

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

Profile Details

NPI number 1013914936
LBN Legal business name Knolls West Enterprises
DBA Doing business as
Authorized official Sanchez, Stacy Jean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
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 1013914936 NPPES
California MEDICAID LTC55251

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