Collingwood Manor

LBN: Collingwood Manor Llc
Collingwood Manor is an health care organization with primary practice located at 553 F Street , Chula Vista CA 91910-3515. 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. Collingwood Manor Llc can be contacted via phone (619) 426-8611, or through Miller, Mary P via phone (619) 441-8771.

Contact Information

Primary practice address
553 F Street Chula Vista CA 91910-3515
Phone: (619) 426-8611
Fax: (619) 426-2315
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mary P
Phone: (619) 441-8771

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 090000120 California

Profile Details

NPI number 1366518524
LBN Legal business name Collingwood Manor Llc
DBA Doing business as Collingwood Manor
Authorized official Miller, Mary P
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 13th, 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 1366518524 NPPES
California MEDICAID ZZT 11310G

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