Broadwater Ontario Care Center, Llc in Ontario - Skilled Nursing Facility
Broadwater Ontario Care Center, Llc - NPI 1316080260
Broadwater Ontario Care Center, Llc is a Skilled Nursing Facility in Ontario, California. Broadwater Ontario Care Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Broadwater Ontario Care Center, Llc is 1316080260. The last update date is 2008-06-09.
Broadwater Ontario Care Center, Llc's current location address is 1661 S Euclid Ave, Ontario, California. You can contact this provider via phone number 9099846713 and fax number 9099845254. The mailing address for Broadwater Ontario Care Center, Llc is 1661 S Euclid Ave, Ontario, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadwater Ontario Care Center, Llc |
|---|---|
| Address | 1661 S Euclid Ave, Ontario, California |
| Phone Number | 9099846713 |
| Fax Number | 9099845254 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Easton Douglas |
| Telephone Number | 8183681862 |
NPI Number Detail
| NPI Number | 1316080260 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 1661 S Euclid Ave |
|---|---|
| City | Ontario |
| State | California (CA) |
| Post Code | 917625826 |
| Phone Number | 9099846713 |
| Fax Number | 9099845254 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 240000181 |
|
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 |
|---|---|---|---|
| 1316080260 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Broadwater Ontario Care Center, Llc by the Centers for Medicare & Medicaid Services?
The Broadwater Ontario Care Center, Llc has been issued the NPI (National Provider Identifier) 1316080260 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Broadwater Ontario Care Center, Llc located?
The Broadwater Ontario Care Center, Llc is located at 1661 S Euclid Ave, Ontario, CA 917625826.
What is Broadwater Ontario Care Center, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Broadwater Ontario Care Center, Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316080260 to Broadwater Ontario Care Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1316080260 to Broadwater Ontario Care Center, Llc on 2007-02-14.
As of what date were the details pertaining to Broadwater Ontario Care Center, Llc last refreshed?
The information related to the Broadwater Ontario Care Center, Llc, including its address, specialty, and other relevant details, was last updated on 2008-06-09.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA
NPI Number: 1689648701
Address: 100 Bavington Rd, Burgettstown, PA