GHC OF NEWPORT BEACH, LLC
Skilled Nursing Facility
Newport Beach, California
Provider NPI: 1942204318
Organization Information:Organization Name: GHC OF NEWPORT BEACH, LLC
Practice Location:
1555 SUPERIOR AVE NEWPORT BEACH, CA 92663 US
Tel: 949-646-7764 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:
1555 SUPERIOR AVE NEWPORT BEACH, CA 92663 US
Tel: 949-646-7764 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 060000116 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC05518G | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin