Montclair Manor Care Center, Llc

LBN: Montclair Manor Care Center, Llc
Montclair Manor Care Center, Llc is an health care organization with primary practice located at 5119 Bandera St , Montclair CA 91763-4410. 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. Montclair Manor Care Center, Llc can be contacted via phone (909) 626-1294, or through Chen, Jenq via phone (310) 889-9929.

Contact Information

Primary practice address
5119 Bandera St Montclair CA 91763-4410
Phone: (909) 626-1294
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chen, Jenq
Phone: (310) 889-9929

Health care specialties

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

Profile Details

NPI number 1689661357
LBN Legal business name Montclair Manor Care Center, Llc
DBA Doing business as
Authorized official Chen, Jenq
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1689661357 NPPES
California MEDICAID ZZT05718H

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