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CENTENNIAL HEALTHCARE LLC NPI 1669886230


NPI Information

NPI: 1669886230
Provider Name: CENTENNIAL HEALTHCARE LLC

Doing Business As: GATEWAY HOMES

Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
7504 CAPPS AVE
RESEDA, CA
ZIP 91335
Phone: (818) 881-1182
Get Directions

CENTENNIAL HEALTHCARE LLC is a nursing care and pediatric skilled nursing facility in Reseda, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. CENTENNIAL HEALTHCARE LLC NPI is 1669886230. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Homes.

The provider's business location address is:

7504 CAPPS AVE
RESEDA, CA
ZIP 91335-710
Phone: (818) 881-1182
Fax: (562) 268-1608

The provider's authorized official is Harry Jacobs .
The authorized official title is Manager and has the following contact phone number (818) 881-1182.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric550000738CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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