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Contact Information

FOUNTAIN CARE CENTER, LLC
1835 WEST LA VETA AVENUE
ORANGE, CA92868
 Phone: 714-978-6800
 Fax: 714-978-2544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for FOUNTAIN CARE CENTER, LLC

NPI # 1093778128
LBN Legal business name FOUNTAIN CARE CENTER, LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/10/2006
Last updated 01/27/2016 - About 10 years ago
Identifiers
CA License # 080000646
CA Medicaid LTC555259G
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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