Community Extended Care Hospital

LBN: Community Convalescent Center Of Montclair Inc
Community Extended Care Hospital is an health care organization with primary practice located at 9620 Fremont Ave , Montclair CA 91763-2320. 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. Community Convalescent Center Of Montclair Inc can be contacted via phone (909) 621-4751, or through Sanchez, Rosalie Piacenti via phone (562) 930-0777.

Contact Information

Primary practice address
9620 Fremont Ave Montclair CA 91763-2320
Fax: (909) 621-5410
Website:
Authorized official contact:
Name: Sanchez, Rosalie Piacenti

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000243 California

Profile Details

NPI number 1851388458
LBN Legal business name Community Convalescent Center Of Montclair Inc
DBA Doing business as Community Extended Care Hospital
Authorized official Sanchez, Rosalie Piacenti
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 8th, 2010 - about 16 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 1851388458 NPPES
California MEDICAID LTC06444F
California MEDICAID LTC70142F

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