Laurel Park Behavioral Health Center

LBN: Sunbridge Braswell Enterprises Llc
Laurel Park Behavioral Health Center is an health care organization with primary practice located at 1425 Laurel Ave , Pomona CA 91768-2837. 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. Sunbridge Braswell Enterprises Llc can be contacted via phone (909) 622-1069, or through Berg, Michael T. via phone (505) 468-4742.

Contact Information

Primary practice address
1425 Laurel Ave Pomona CA 91768-2837
Phone: (909) 622-1069
Fax: (909) 622-4319
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 950000064 California

Profile Details

NPI number 1639126782
LBN Legal business name Sunbridge Braswell Enterprises Llc
DBA Doing business as Laurel Park Behavioral Health Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2006
Last updated Jan 14th, 2016 - about 8 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 1639126782 NPPES
California MEDICAID ZZT18548G

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