Casa Bonita Convalescent Hospital
LBN: Casa Bonita Convalescent Hospital Llc
Casa Bonita Convalescent Hospital is an health care organization with primary practice located at 535 E Bonita Ave , San Dimas CA 91773-3124. 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.
Casa Bonita Convalescent Hospital Llc can be contacted via phone (909) 599-1248, or through Friedman, Ira David via phone (213) 389-6900.
Contact Information
Primary practice address
535 E Bonita Ave
San Dimas CA 91773-3124
Phone: (909) 599-1248
Fax: (909) 599-7178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 950000095 | California |
Profile Details
| NPI number | 1730269234 |
|---|---|
| LBN Legal business name | Casa Bonita Convalescent Hospital Llc |
| DBA Doing business as | Casa Bonita Convalescent Hospital |
| Authorized official | Friedman, Ira David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 29th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730269234 | NPPES |
| California | MEDICAID | LTC70110G | |
| California | MEDICAID | LTC06291J |
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