VETERANS HOME OF CALIFORNIA - CHULA VISTA
Assisted Living Facility
Chula Vista, California
Provider NPI: 1790771194
Organization Information:Organization Name: VETERANS HOME OF CALIFORNIA - CHULA VISTA
Practice Location:
700 E NAPLES CT CHULA VISTA, CA 91911 US
Tel: 619-482-6010 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
700 E NAPLES CT CHULA VISTA, CA 91911 US
Tel: 619-482-6010 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 374601005 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 170000836 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | DD4357 | CA | 01 |
LTC55795F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin