Alta Gardens Care Center

LBN: Alta Care Center, Llc
Alta Gardens Care Center is an health care organization with primary practice located at 13075 Blackbird Street , Garden Grove CA 92843-2902. 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. Alta Care Center, Llc can be contacted via phone (714) 530-6322, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
13075 Blackbird Street Garden Grove CA 92843-2902
Phone: (714) 530-6322
Fax: (714) 530-0284
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000648 California

Profile Details

NPI number 1326037847
LBN Legal business name Alta Care Center, Llc
DBA Doing business as Alta Gardens Care Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2005
Last updated Feb 1st, 2016 - about 10 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 1326037847 NPPES
California MEDICAID LTC55473G

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