Legacy Post-Acute Rehabilitation Center

LBN: San Bernardino Convalescent Operations Inc.
Legacy Post-Acute Rehabilitation Center is an health care organization with primary practice located at 1335 N Waterman Ave , San Bernardino CA 92404-5312. 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. San Bernardino Convalescent Operations Inc. can be contacted via phone (909) 885-0268, or through Johns, Tracey A via phone (909) 885-0268.

Contact Information

Primary practice address
1335 N Waterman Ave San Bernardino CA 92404-5312
Fax: (909) 888-5982
Website:
Authorized official contact:
Name: Johns, Tracey A

Health care specialties

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

Profile Details

NPI number 1396739199
LBN Legal business name San Bernardino Convalescent Operations Inc.
DBA Doing business as Legacy Post-Acute Rehabilitation Center
Authorized official Johns, Tracey A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 13th, 2007 - about 17 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 1396739199 NPPES
California MEDICAID ZZT05708H
California MEDICAID LTC70122F

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