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MOUNTAIN VIEW CHILD CARE INC NPI 1396873808


NPI Information

NPI: 1396873808
Provider Name: MOUNTAIN VIEW CHILD CARE, INC

Doing Business As: TOTALLY KIDS SPECIALTY HEALTHCARE

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

Specialization: Nursing Care, Pediatric

Address:
1720 MOUNTAIN VIEW AVE
LOMA LINDA, CA
ZIP 92354
Phone: (909) 796-6915
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MOUNTAIN VIEW CHILD CARE, INC is a nursing care and pediatric skilled nursing facility in Loma Linda, 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. MOUNTAIN VIEW CHILD CARE, INC NPI is 1396873808. The provider is registered as an organization entity type.
The provider Is Doing Business As Totally Kids Specialty Healthcare.

The provider's business location address is:

1720 MOUNTAIN VIEW AVE
LOMA LINDA, CA
ZIP 92354-727
Phone: (909) 796-6915
Fax: (909) 796-1285

The provider's authorized official is Doug Padgett .
The authorized official title is Ceo-president and has the following contact phone number (909) 796-6915.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.


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, PediatricCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC55587FMEDICAIDCALIFORNIA

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: 11/14/2023

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