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Contact Information

BANDERA HEALTHCARE LLC
29222 RANCHO VIEJO RD STE 127
SAN JUAN CAPISTRANO, CA92675
 Phone: 949-487-9500
 Fax: 949-540-1966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for BANDERA HEALTHCARE LLC

NPI Number 1841789336
LBN Legal business name BANDERA HEALTHCARE LLC
Authorized official SOON BURNAM - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2018
Last updated 06/29/2020 - About 6 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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