Poway Healthcare Center

LBN: Poplar Holdings, Llc
Poway Healthcare Center is an health care organization with primary practice located at 15632 Pomerado Rd , Poway CA 92064-2406. 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. Poplar Holdings, Llc can be contacted via phone (858) 485-5153, or through Hancock, Mark via phone (801) 447-9829.

Contact Information

Primary practice address
15632 Pomerado Rd Poway CA 92064-2406
Phone: (858) 485-5153
Fax: (858) 485-7694
Website:
Map and Directions
Authorized official contact:
Name: Hancock, Mark
Phone: (801) 447-9829

Health care specialties

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

Profile Details

NPI number 1407035512
LBN Legal business name Poplar Holdings, Llc
DBA Doing business as Poway Healthcare Center
Authorized official Hancock, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated May 12th, 2023 - about last year

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 1407035512 NPPES
California MEDICAID 1407035512
California MEDICAID LTC55136I

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