Fullerton Post Acute Care

LBN: Evergreen At Fullerton, L.L.C.
Fullerton Post Acute Care is an health care organization with primary practice located at 2222 N Harbor Blvd , Fullerton CA 92835-2605. 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. Evergreen At Fullerton, L.L.C. can be contacted via phone (714) 992-5701, or through Patterson, Dale L. via phone (360) 892-6628.

Contact Information

Primary practice address
2222 N Harbor Blvd Fullerton CA 92835-2605
Phone: (714) 992-5701
Fax: (714) 526-4884
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Dale L.
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000205 California

Profile Details

NPI number 1104874239
LBN Legal business name Evergreen At Fullerton, L.L.C.
DBA Doing business as Fullerton Post Acute Care
Authorized official Patterson, Dale L.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 2nd, 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 1104874239 NPPES
California MEDICAID LTC55532F

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