<Unavail>

LBN: Mesa Glen Holdings Llc
<Unavail> is an health care organization with primary practice located at 638 E Colorado Ave , Glendora CA 91740. 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. Mesa Glen Holdings Llc can be contacted via phone (626) 963-6091, or through Greenwell, Jennifer via phone (909) 987-7735.

Contact Information

Primary practice address
638 E Colorado Ave Glendora CA 91740
Phone: (626) 963-6091
Fax: (626) 963-0653
Website:
Map and Directions
Authorized official contact:
Name: Greenwell, Jennifer
Phone: (909) 987-7735

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 950000026 California

Profile Details

NPI number 1932215100
LBN Legal business name Mesa Glen Holdings Llc
DBA Doing business as <Unavail>
Authorized official Greenwell, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 19th, 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 1932215100 NPPES
California MEDICAID ZZT05676G

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