15Th Street House

LBN: Rscr California, Inc.
15Th Street House is an health care organization with primary practice located at 1447 E 15Th St , Upland CA 91786-2436. 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. Rscr California, Inc. can be contacted via phone (714) 537-3252, or through Mattingly, Angie via phone (502) 630-7425.

Contact Information

Primary practice address
1447 E 15Th St Upland CA 91786-2436
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 1558497404
LBN Legal business name Rscr California, Inc.
DBA Doing business as 15Th Street House
Authorized official Mattingly, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 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 1558497404 NPPES
California MEDICAID LTC60516G

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