Knolls West Post Acute Llc

LBN: Knolls West Post Acute Llc
Knolls West Post Acute Llc 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 Post Acute Llc can be contacted via phone (310) 266-1080, or through Johnson, David via phone (310) 266-1080.

Contact Information

Primary practice address
16890 Green Tree Blvd Victorville CA 92395-5618
Phone: (310) 266-1080
Fax: (714) 256-2003
Website:
Map and Directions
Authorized official contact:
Name: Johnson, David
Phone: (310) 266-1080

Health care specialties

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

Profile Details

NPI number 1588091383
LBN Legal business name Knolls West Post Acute Llc
DBA Doing business as
Authorized official Johnson, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2013
Last updated Dec 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588091383 NPPES
California MEDICAID LTC55251F

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