Shea Family Care Parkside

LBN: Parkside Special Care Center Inc
Shea Family Care Parkside is an health care organization with primary practice located at 444 W Lexington Ave , El Cajon CA 92020-4416. 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. Parkside Special Care Center Inc can be contacted via phone (619) 442-7744, or through Miller, Mary Patricia via phone (619) 441-8771.

Contact Information

Primary practice address
444 W Lexington Ave El Cajon CA 92020-4416
Fax: (619) 442-1137
Website:
Authorized official contact:
Name: Miller, Mary Patricia

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000068 California

Profile Details

NPI number 1306859970
LBN Legal business name Parkside Special Care Center Inc
DBA Doing business as Shea Family Care Parkside
Authorized official Miller, Mary Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 27th, 2013 - about 11 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 1306859970 NPPES
California MEDICAID ZZT18176H

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