Knott Avenue Care Center, Inc.

LBN: Knott Avenue Care Center, Inc.
Knott Avenue Care Center, Inc. is an health care organization with primary practice located at 9021 Knott Ave , Buena Park CA 90620-4138. 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. Knott Avenue Care Center, Inc. can be contacted via phone (714) 826-2330, or through Casey, Elizabeth J. via phone (805) 497-7330.

Contact Information

Primary practice address
9021 Knott Ave Buena Park CA 90620-4138
Phone: (714) 826-2330
Fax: (714) 527-6869
Website:
Map and Directions
Authorized official contact:
Name: Casey, Elizabeth J.
Phone: (805) 497-7330

Health care specialties

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

Profile Details

NPI number 1114969540
LBN Legal business name Knott Avenue Care Center, Inc.
DBA Doing business as
Authorized official Casey, Elizabeth J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
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 1114969540 NPPES
California MEDICAID LTC70154F
California MEDICAID ZZT05674I

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