Healthcare Provider Details

I. General information

NPI: 1154856433
Provider Name (Legal Business Name): UNIFIED CARE FACILITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 MACAU ST
BAKERSFIELD CA
93313-5588
US

IV. Provider business mailing address

8222 MELROSE AVE STE 306
LOS ANGELES CA
90046-6839
US

V. Phone/Fax

Practice location:
  • Phone: 323-327-7504
  • Fax: 866-788-9917
Mailing address:
  • Phone: 323-327-7504
  • Fax: 866-788-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number550003711
License Number StateCA

VIII. Authorized Official

Name: ALEXANDER FISHKIN
Title or Position: CFO
Credential:
Phone: 323-327-7504