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Contact Information

ARK HOMES CONGREGATE LIVING HEALTH FACILITY
12167 RICHFIELD DR
RANCHO CUCAMONGA, CA91739-8910
 Phone: 626-893-0589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
 

Hospice, Inpatient

315D00000X
 

Nursing Care

251J00000X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ARK HOMES CONGREGATE LIVING HEALTH FACILITY

NPI Number 1376232116
LBN Legal business name ARK HOMES CONGREGATE LIVING HEALTH FACILITY
Authorized official KENNETH MATHIAS - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2023
Last updated 05/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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