Providence Little Company Of Mary Transitional Care Center

LBN: Providence Health System Southern California
Providence Little Company Of Mary Transitional Care Center is an health care organization with primary practice located at 4320 Maricopa St , Torrance CA 90503-4314. 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. Providence Health System Southern California can be contacted via phone (310) 303-7496, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4320 Maricopa St Torrance CA 90503-4314
Fax: (310) 303-7575
Website:
Authorized official contact:
Name: Anderson, Donald W

Health care specialties

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

Profile Details

NPI number 1952348518
LBN Legal business name Providence Health System Southern California
DBA Doing business as Providence Little Company Of Mary Transitional Care Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 4th, 2024 - about 9 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 1952348518 NPPES
California Other ZZZM1976B BLUE SHIELD PROVIDER NUMB
California MEDICAID LTC06499F BLUE SHIELD PROVIDER NUMB
California Other 056499 BLUE SHIELD PROVIDER NUMB

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