Fountain Care Center

LBN: Fountain Care Center, Llc
Fountain Care Center is an health care organization with primary practice located at 1835 West La Veta Avenue , Orange CA 92868. 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. Fountain Care Center, Llc can be contacted via phone (714) 978-6800, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1835 West La Veta Avenue Orange CA 92868
Phone: (714) 978-6800
Fax: (714) 978-2544
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000646 California

Profile Details

NPI number 1093778128
LBN Legal business name Fountain Care Center, Llc
DBA Doing business as Fountain Care Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2006
Last updated Jan 27th, 2016 - about 10 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 1093778128 NPPES
California MEDICAID LTC555259G

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