Foothill Heights Care Center LLC
Skilled Nursing Facility in Pasadena, CA. Organization (NPI-2).
NPI number1457719783
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1457719783
- Entity type
- Organization (NPI-2)
- Legal business name
- Foothill Heights Care Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2016
- Certification date
- Sep 6, 2023
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Foothill Heights Care Center (Doing Business As)
Practice location
1515 N Fair Oaks AvePasadena, CA 91103-1808
Phone 626-798-1111 · Fax 626-469-3430
Mailing address
1515 N Fair Oaks AvePasadena, CA 91103-1808
Phone 626-798-1111 · Fax 626-469-3430
Authorized official
Ezequiel Bercovich
Ceo
2139480193
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