Shandin Hills Behavior Therapy Center

LBN: Sunbridge Shandin Hills Rehabilition Center
Shandin Hills Behavior Therapy Center is an health care organization with primary practice located at 4164 N 4Th Ave , San Bernardino CA 92407-2908. 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 Shandin Hills Rehabilition Center can be contacted via phone (909) 886-6786, or through Mathies, William A. via phone (505) 821-3355.

Contact Information

Primary practice address
4164 N 4Th Ave San Bernardino CA 92407-2908
Fax: (909) 886-2953
Website:
Authorized official contact:
Name: Mathies, William A.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000201 California

Profile Details

NPI number 1417904566
LBN Legal business name Sunbridge Shandin Hills Rehabilition Center
DBA Doing business as Shandin Hills Behavior Therapy Center
Authorized official Mathies, William A.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2006
Last updated Sep 30th, 2009 - about 15 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 1417904566 NPPES
California MEDICAID ZZT18562K

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