Genoa Division

LBN: Monte Vista Child Care Center Inc
Genoa Division is an health care organization with primary practice located at 130 Genoa Way , Upland CA 91786-6151. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Monte Vista Child Care Center Inc can be contacted via phone (909) 624-2774, or through Clarke, Michelle via phone (909) 624-2774.

Contact Information

Primary practice address
130 Genoa Way Upland CA 91786-6151
Phone: (909) 624-2774
Fax: (909) 624-6014
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Michelle
Phone: (909) 624-2774

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1295863686
LBN Legal business name Monte Vista Child Care Center Inc
DBA Doing business as Genoa Division
Authorized official Clarke, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
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 1295863686 NPPES
California MEDICAID LTC80305F

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