South Coast Health & Wellness Corporation in Riverside - Skilled Nursing Facility
South Coast Health & Wellness Corporation - NPI 1104851716
South Coast Health & Wellness Corporation is a Skilled Nursing Facility in Riverside, California. South Coast Health & Wellness Corporation practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for South Coast Health & Wellness Corporation is 1104851716. The last update date is 2020-01-21.
South Coast Health & Wellness Corporation's current location address is 4768 Palm Ave, Riverside, California. You can contact this provider via phone number 9516869001 and fax number 9516860148. The mailing address for South Coast Health & Wellness Corporation is 4768 Palm Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Coast Health & Wellness Corporation |
|---|---|
| Address | 4768 Palm Ave, Riverside, California |
| Phone Number | 9516869001 |
| Fax Number | 9516860148 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Jumonville Cheryl |
| Telephone Number | 9516869001 |
NPI Number Detail
| NPI Number | 1104851716 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-01-21 |
Provider Mailing Address Detail
| Address | 4768 Palm Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014012 |
| Phone Number | 9516869001 |
| Fax Number | 9516860148 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC55711H | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Coast Health & Wellness Corporation by the Centers for Medicare & Medicaid Services?
The South Coast Health & Wellness Corporation has been assigned the NPI (National Provider Identifier) 1104851716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where South Coast Health & Wellness Corporation is located?
The South Coast Health & Wellness Corporation is situated at the following address: 4768 Palm Ave, Riverside, CA, 925014012.
What is South Coast Health & Wellness Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Coast Health & Wellness Corporation is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date was the 1104851716 assigned to South Coast Health & Wellness Corporation?
The South Coast Health & Wellness Corporation was issued its 1104851716 on 2006-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding South Coast Health & Wellness Corporation most recently updated?
The details pertaining to the South Coast Health & Wellness Corporation, including its address, specialty, and other relevant information, were last refreshed on 2020-01-21.