Mt. Rubidoux Convalescent Hospital, Llc

LBN: Mt. Rubidoux Convalescent Hospital, Llc
Mt. Rubidoux Convalescent Hospital, Llc is an health care organization with primary practice located at 6401 33Rd St , Riverside CA 92509-1404. 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. Mt. Rubidoux Convalescent Hospital, Llc can be contacted via phone (951) 681-2200, or through Plott Tyler, Elizabeth via phone (323) 655-6960.

Contact Information

Primary practice address
6401 33Rd St Riverside CA 92509-1404
Phone: (951) 681-2200
Fax: (951) 681-4402
Website:
Map and Directions
Authorized official contact:
Name: Plott Tyler, Elizabeth J.D.
Phone: (323) 655-6960

Health care specialties

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

Profile Details

NPI number 1023019700
LBN Legal business name Mt. Rubidoux Convalescent Hospital, Llc
DBA Doing business as
Authorized official Plott Tyler, Elizabeth J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 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 1023019700 NPPES
California MEDICAID ZZT05581I

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