Waterman Convalescent Hospital, Llc

LBN: Waterman Convalescent Hospital, Llc
Waterman Convalescent Hospital, Llc is an health care organization with primary practice located at 1850 N Waterman Ave , San Bernardino CA 92404-4831. 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. Waterman Convalescent Hospital, Llc can be contacted via phone (909) 882-1215, or through Plott Tyler, Elizabeth via phone (323) 655-6960.

Contact Information

Primary practice address
1850 N Waterman Ave San Bernardino CA 92404-4831
Phone: (909) 882-1215
Fax: (909) 881-2071
Website:
Map and Directions
Authorized official contact:
Name: Plott Tyler, Elizabeth J.D.
Phone: (323) 655-6960

Health care specialties

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

Profile Details

NPI number 1265433957
LBN Legal business name Waterman Convalescent Hospital, Llc
DBA Doing business as
Authorized official Plott Tyler, Elizabeth J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1265433957 NPPES
California MEDICAID ZZT05565G

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