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NPI Code Detail

MEDICARE: EMBER CARE CORPORATION

MEDICARE: EMBER CARE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033131966
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBER CARE CORPORATION
Provider Business Mailing Address
First Line : 2258 FOOTHILL BLVD STE 6
Second Line :
City : LA CANADA
State : CA
Zip : 91011-1476
Country : US
Telephone Number : 818-248-9808
Fax Number : 818-541-7072
Provider Business Practice Location Address
First Line : 1633 CYPRESS LN
Second Line :
City : PARADISE
State : CA
Zip : 95969-2823
Country : US
Telephone Number : 530-877-9316
Fax Number : 530-877-4708
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : JOE PADRE
Credential :
Telephone Number : 818-248-9808
Provider Enumeration Date : 07/23/2006
Last Update Date : 08/22/2020

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Directions to “EMBER CARE CORPORATION ” Practice Location

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