Gordon Lane Care Center

LBN: Gordon Lane Healthcare Llc
Gordon Lane Care Center is an health care organization with primary practice located at 1821 E Chapman Ave , Fullerton CA 92831-4102. 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. Gordon Lane Healthcare Llc can be contacted via phone (714) 879-7301, or through Nelson, Jeanne M via phone (714) 577-3880.

Contact Information

Primary practice address
1821 E Chapman Ave Fullerton CA 92831-4102
Phone: (714) 879-7301
Fax: (714) 224-3320
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Jeanne M
Phone: (714) 577-3880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000118 California

Profile Details

NPI number 1205932126
LBN Legal business name Gordon Lane Healthcare Llc
DBA Doing business as Gordon Lane Care Center
Authorized official Nelson, Jeanne M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Jun 3rd, 2015 - about 11 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 1205932126 NPPES
California MEDICAID LTC55797F

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