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DOUGLAS FIR HOLDINGS LLC NPI 1821027632


NPI Information

NPI: 1821027632
Provider Name: DOUGLAS FIR HOLDINGS, LLC

Doing Business As: HUNTINGTON VALLEY HEALTHCARE CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 05D0577454

Address:
8382 NEWMAN AVE
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 842-5551
Get Directions

DOUGLAS FIR HOLDINGS, LLC is a skilled nursing facility in Huntington Beach, CA. The provider is (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. DOUGLAS FIR HOLDINGS, LLC NPI is 1821027632. The provider is registered as an organization entity type.
The provider Is Doing Business As Huntington Valley Healthcare Center.

The provider's business location address is:

8382 NEWMAN AVE
HUNTINGTON BEACH, CA
ZIP 92647-038
Phone: (714) 842-5551
Fax: (714) 848-5359

The provider's authorized official is Paul Hubbard .
The authorized official title is Manager and has the following contact phone number (760) 471-0388.

The CLIA number assigned to this NPI record is 05D0577454 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/10/2014.


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
1314000000XSkilled Nursing Facility060000206CALIFORNIAYes

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
1LTC70171FMEDICAIDCALIFORNIA
21821027632MEDICAIDCALIFORNIA
3ZZT05888HMEDICAIDCALIFORNIA
4055888MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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