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Contact Information

JACOB HEALTH CARE CENTER LP
4075 54TH ST
SAN DIEGO, CA92105
 Phone: 323-556-0040
 Fax: 323-556-0048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for JACOB HEALTH CARE CENTER LP

NPI # 1881684900
LBN Legal business name JACOB HEALTH CARE CENTER LP
Authorized official JACOB GRAFF - (P)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2005
Last updated 07/25/2018 - About 8 years ago
Identifiers
CA License # 090000093
CA Medicaid ZZT055508G
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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