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Contact Information

PARK REGENCY CARE LLC
1770 W LA HABRA BLVD
LA HABRA, CA90631
 Phone: 714-773-0750
 Fax: 562-697-8478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for PARK REGENCY CARE LLC

NPI Number 1184720005
LBN Legal business name PARK REGENCY CARE LLC
Authorized official MARK MORTENSEN - (SR VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid LTC55536G
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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