St. Bernardine Care Providers,inc.
Home Health in Apple Valley, CA. Organization (NPI-2).
NPI number1831246032
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1831246032
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Bernardine Care Providers,inc.
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Certification date
- Nov 9, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
18064 Wika Rd Ste 202Apple Valley, CA 92307-2182
Phone 760-242-6720 · Fax 760-242-6731
Mailing address
6 Venture Ste 375Irvine, CA 92618-7367
Phone 949-397-6091 · Fax 949-629-4179
Other practice locations
6 Venture Ste 375
Irvine, CA 92618-7367
Irvine, CA 92618-7367
Phone 949-397-6091
Authorized official
Masoud Shojaei
Cfo
9493976091
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