La Fuente Lavender Llc

LBN: La Fuente Lavender Llc
La Fuente Lavender Llc is an health care organization with primary practice located at 9545 Tamarind Ave , Fontana CA 92335-5962. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. La Fuente Lavender Llc can be contacted via phone (909) 346-0292, or through Ramas, Sotero Chandler via phone (909) 346-0292.

Contact Information

Primary practice address
9545 Tamarind Ave Fontana CA 92335-5962
Phone: (909) 346-0292
Fax: (909) 346-0292
Website:
Map and Directions
Authorized official contact:
Name: Ramas, Sotero Chandler
Phone: (909) 346-0292

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 361800009 California

Profile Details

NPI number 1093269946
LBN Legal business name La Fuente Lavender Llc
DBA Doing business as
Authorized official Ramas, Sotero Chandler
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2016
Last updated Aug 9th, 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 1093269946 NPPES
California Other 361800009 RESIDENTIAL CARE FOR ELDERLY LICENSE NUMBER

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