Broadway By The Sea

LBN: Hacienda C H Inc
Broadway By The Sea is an health care organization with primary practice located at 2725 E Broadway , Long Beach CA 90803-5431. 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. Hacienda C H Inc can be contacted via phone (562) 434-4494, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
2725 E Broadway Long Beach CA 90803-5431
Phone: (562) 434-4494
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 940000084 California

Profile Details

NPI number 1922083435
LBN Legal business name Hacienda C H Inc
DBA Doing business as Broadway By The Sea
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 5th, 2024 - about 2 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 1922083435 NPPES
California MEDICAID ZZT05894I

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