South Capitol Cottage Inc in Colton - Nursing Facility/intermediate Care Facility

South Capitol Cottage Inc - NPI 1912050956

South Capitol Cottage Inc is a Nursing Facility/intermediate Care Facility in Colton, California. South Capitol Cottage Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for South Capitol Cottage Inc is 1912050956. The last update date is 2015-09-01.

South Capitol Cottage Inc's current location address is 1801 De Carmen Dr, Colton, California. You can contact this provider via phone number 9516623026. The mailing address for South Capitol Cottage Inc is 1801 De Carmen Dr, Colton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Capitol Cottage Inc
Address 1801 De Carmen Dr, Colton, California
Phone Number 9516623026
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Frazier Carol
Credentials LVN
Telephone Number 9516623026

NPI Number Detail

NPI Number 1912050956
Provider Enumeration Date 2007-01-21
Last Updated Date 2015-09-01

Provider Mailing Address Detail

Address 1801 De Carmen Dr
City Colton
State California (CA)
Post Code 923246248
Phone Number 9516623026
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6310014738 CA --

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FAQs about South Capitol Cottage Inc

What is the South Capitol Cottage Inc's unique identification number?

The South Capitol Cottage Inc has been assigned the NPI (National Provider Identifier) Number 1912050956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of South Capitol Cottage Inc?

The South Capitol Cottage Inc is situated at 1801 De Carmen Dr, in the city of Colton, state of CA, with the zip code 923246248.

What is South Capitol Cottage Inc's area of expertise and its corresponding taxonomy classification?

The South Capitol Cottage Inc's field of specialization is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their areas of practice.

When was the South Capitol Cottage Inc's 1912050956 issued?

The South Capitol Cottage Inc's 1912050956 was issued on 2007-01-21.

When was the information pertaining to South Capitol Cottage Inc most recently updated or revised?

The details related to South Capitol Cottage Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-01.

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