Fontana Healthcare, Llc in Fontana - Skilled Nursing Facility
Fontana Healthcare, Llc - NPI 1114096120
Fontana Healthcare, Llc is a Skilled Nursing Facility in Fontana, California. Fontana Healthcare, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Fontana Healthcare, Llc is 1114096120. The last update date is 2020-08-22.
Fontana Healthcare, Llc's current location address is 17933 San Bernardino Ave, Fontana, California. You can contact this provider via phone number 9098771555. The mailing address for Fontana Healthcare, Llc is 17933 San Bernardino Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fontana Healthcare, Llc |
|---|---|
| Address | 17933 San Bernardino Ave, Fontana, California |
| Phone Number | 9098771555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lee Jeoung |
| Telephone Number | 8054941233 |
NPI Number Detail
| NPI Number | 1114096120 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17933 San Bernardino Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356151 |
| Phone Number | 9098771555 |
| Fax Number |
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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What is the unique provider identifier assigned to Fontana Healthcare, Llc?
The Fontana Healthcare, Llc has been issued the NPI (National Provider Identifier) 1114096120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fontana Healthcare, Llc located?
The Fontana Healthcare, Llc is located at 17933 San Bernardino Ave, Fontana, CA 923356151.
What is the Fontana Healthcare, Llc's specialty and taxonomy code?
The Fontana Healthcare, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114096120 to Fontana Healthcare, Llc?
The Centers for Medicare & Medicaid Services assigned the 1114096120 to Fontana Healthcare, Llc on 2006-11-06.
When was the information regarding Fontana Healthcare, Llc most recently updated?
The details pertaining to the Fontana Healthcare, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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