Brian House

LBN: Normal Life Of California, Inc.
Brian House is an health care organization with primary practice located at 1361 N Brian Ave , Azusa CA 91702-1802. 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. Normal Life Of California, Inc. can be contacted via phone (714) 537-3252, or through Mattingly, Angie via phone (502) 394-2100.

Contact Information

Primary practice address
1361 N Brian Ave Azusa CA 91702-1802
Phone: (714) 537-3252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mattingly, Angie
Phone: (502) 394-2100

Health care specialties

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

Profile Details

NPI number 1003943838
LBN Legal business name Normal Life Of California, Inc.
DBA Doing business as Brian House
Authorized official Mattingly, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 15th, 2024 - about 8 months 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 1003943838 NPPES
California MEDICAID LTC60935F

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