Cloverleaf Enterprise Inc in Banning - Skilled Nursing Facility

Cloverleaf Enterprise Inc - NPI 1255312831

Cloverleaf Enterprise Inc is a Skilled Nursing Facility in Banning, California. Cloverleaf Enterprise Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Cloverleaf Enterprise Inc is 1255312831. The last update date is 2022-03-30.

Cloverleaf Enterprise Inc's current location address is 5800 W Wilson St, Banning, California. You can contact this provider via phone number 9518451606 and fax number 9518454152. The mailing address for Cloverleaf Enterprise Inc is 5800 W Wilson St, Banning, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cloverleaf Enterprise Inc
Address 5800 W Wilson St, Banning, California
Phone Number 9518451606
Fax Number 9518454152
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Lopez Albert Anthony
Credentials NHA
Telephone Number 9518451606

NPI Number Detail

NPI Number 1255312831
Provider Enumeration Date 2005-11-09
Last Updated Date 2022-03-30

Provider Mailing Address Detail

Address 5800 W Wilson St
City Banning
State California (CA)
Post Code 922203042
Phone Number 9518451606
Fax Number 9518454152

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 250000298
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC55309G CA --

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FAQs about Cloverleaf Enterprise Inc

What is the unique 10-digit identifier code assigned to Cloverleaf Enterprise Inc by the Centers for Medicare & Medicaid Services?

The Cloverleaf Enterprise Inc has been issued the NPI (National Provider Identifier) 1255312831 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Cloverleaf Enterprise Inc?

The Cloverleaf Enterprise Inc is physically situated at 5800 W Wilson St, in the city of Banning, state of CA, with the postal code 922203042.

What is the area of specialization for Cloverleaf Enterprise Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Cloverleaf Enterprise Inc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

When did Cloverleaf Enterprise Inc receive its 1255312831 assignment?

The Cloverleaf Enterprise Inc was assigned its 1255312831 on 2005-11-09, which is the date when this unique identifier was issued to the organization.

When was the Cloverleaf Enterprise Inc's information last updated?

The Cloverleaf Enterprise Inc's information was last updated on 2022-03-30.

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