South Capitol Cottage Inc

LBN: South Capitol Cottage Inc
South Capitol Cottage Inc is an health care organization with primary practice located at 15054 Daisy Rd , Adelanto CA 92301-4824. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. South Capitol Cottage Inc can be contacted via phone (951) 662-3026, or through Frazier, Carol via phone (951) 662-3026.

Contact Information

Primary practice address
15054 Daisy Rd Adelanto CA 92301-4824
Phone: (951) 662-3026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frazier, Carol Licensed Visiting Nurse (LVN)
Phone: (951) 662-3026

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1912050956
LBN Legal business name South Capitol Cottage Inc
DBA Doing business as
Authorized official Frazier, Carol Licensed Visiting Nurse (LVN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2007
Last updated Sep 1st, 2015 - about 9 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 1912050956 NPPES
California MEDICAID 6310014738

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