Healthcare Provider Details

I. General information

NPI: 1942624481
Provider Name (Legal Business Name): LIFEHOUSE BAKERFIELD OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 34TH ST
BAKERSFIELD CA
93301-2210
US

IV. Provider business mailing address

300 CORPORATE POINTE STE 550
CULVER CITY CA
90230-7617
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-2867
  • Fax:
Mailing address:
  • Phone: 310-337-1929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROWAN FARBER
Title or Position: CEO
Credential:
Phone: 310-337-1929