<Unavail>

LBN: Casa Pacifica Nursing Center, Llc
<Unavail> is an health care organization with primary practice located at 861 South Harbor Boulevard , Anaheim CA 92805. 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 Pacifica Nursing Center, Llc can be contacted via phone (714) 635-8131, or through Wintner, Jacob via phone (323) 651-1808.

Contact Information

Primary practice address
861 South Harbor Boulevard Anaheim CA 92805
Phone: (714) 635-8131
Fax: (714) 635-8960
Website:
Map and Directions
Authorized official contact:
Name: Wintner, Jacob
Phone: (323) 651-1808

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000096 California

Profile Details

NPI number 1902891641
LBN Legal business name Casa Pacifica Nursing Center, Llc
DBA Doing business as <Unavail>
Authorized official Wintner, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Jun 24th, 2014 - about 12 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 1902891641 NPPES
California MEDICAID ZZT05742G

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