Apple Valley Congregate Living Health Facility

LBN: Oak Fence Senior Living Llc
Apple Valley Congregate Living Health Facility is an health care organization with primary practice located at 20135 Oneida Rd , Apple Valley CA 92307-5207. 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. Oak Fence Senior Living Llc can be contacted via phone (909) 967-1872, or through Aye, Than T via phone (909) 967-1872.

Contact Information

Primary practice address
20135 Oneida Rd Apple Valley CA 92307-5207
Phone: (909) 967-1872
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aye, Than T
Phone: (909) 967-1872

Health care specialties

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

Profile Details

NPI number 1013674472
LBN Legal business name Oak Fence Senior Living Llc
DBA Doing business as Apple Valley Congregate Living Health Facility
Authorized official Aye, Than T
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2021
Last updated Mar 22nd, 2023 - about 3 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 1013674472 NPPES
California Other 550005416 DEPARTMENT OF PUBLIC HEALTH
California MEDICAID 1013674472 DEPARTMENT OF PUBLIC HEALTH
California MEDICAID 1497140222 DEPARTMENT OF PUBLIC HEALTH

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