MEDICARE: HACIENDA HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP

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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1427457233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HACIENDA HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP

Provider Business Mailing Address
First Line	:	5900 WILSHIRE BLVD
Second Line	:	SUITE 1600
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-5013
Country	:	US
Telephone Number	:	323-330-6500
Fax Number	:	866-603-3566

Provider Business Practice Location Address
First Line	:	1311 E DATE ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-4233
Country	:	US
Telephone Number	:	909-882-3316
Fax Number	:	909-882-5126

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SHLOMO RECHNITZ
Credential	:
Telephone Number	:	323-634-1940

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	08/18/2014

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