Pheonix Home

LBN: Res-Care California, Inc.
Pheonix Home is an health care organization with primary practice located at 8525 Meandering Way , Antelope CA 95843-5863. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Res-Care California, Inc. can be contacted via phone (714) 537-3252, or through Mattingly, Angie via phone (502) 630-7425.

Contact Information

Primary practice address
8525 Meandering Way Antelope CA 95843-5863
Phone: (714) 537-3252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mattingly, Angie
Phone: (502) 630-7425

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1487781159
LBN Legal business name Res-Care California, Inc.
DBA Doing business as Pheonix Home
Authorized official Mattingly, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 19th, 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 1487781159 NPPES
California MEDICAID LTC80337F

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