Palmyra House

LBN: Rockcreek, Inc.
Palmyra House is an health care organization with primary practice located at 120 Palmyra Dr , San Bernardino CA 92404-1613. 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. Rockcreek, Inc. can be contacted via phone (714) 537-3252, or through Ombres, Deena via phone (502) 394-2387.

Contact Information

Primary practice address
120 Palmyra Dr San Bernardino CA 92404-1613
Phone: (714) 537-3252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ombres, Deena
Phone: (502) 394-2387

Health care specialties

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

Profile Details

NPI number 1033246301
LBN Legal business name Rockcreek, Inc.
DBA Doing business as Palmyra House
Authorized official Ombres, Deena
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 11th, 2008 - about 16 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 1033246301 NPPES
California MEDICAID LTC60380F

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