Provident Place

LBN: Provident Place
Provident Place is an health care organization with primary practice located at 15448 Mondamon Rd , Apple Valley CA 92307-4557. 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. Provident Place can be contacted via phone (760) 242-4908, or through Aparicio, Dan via phone (626) 722-1352.

Contact Information

Primary practice address
15448 Mondamon Rd Apple Valley CA 92307-4557
Phone: (760) 242-4908
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aparicio, Dan M.B.A.
Phone: (626) 722-1352

Health care specialties

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

Profile Details

NPI number 1508208877
LBN Legal business name Provident Place
DBA Doing business as
Authorized official Aparicio, Dan M.B.A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2013
Last updated Jul 26th, 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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