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Contact Information

CASA PACIFICA NURSING CENTER, LLC
861 SOUTH HARBOR BOULEVARD
ANAHEIM, CA92805
 Phone: 714-635-8131
 Fax: 714-635-8960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for CASA PACIFICA NURSING CENTER, LLC

NPI Number 1902891641
LBN Legal business name CASA PACIFICA NURSING CENTER, LLC
Authorized official JACOB WINTNER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2005
Last updated 06/24/2014 - About 12 years ago
Identifiers
CA License # 060000096
CA Medicaid ZZT05742G
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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