Healthcare Provider Details

I. General information

NPI: 1659336436
Provider Name (Legal Business Name): AUREUS ACQUISITION I, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 EL CAMINO REAL
CARLSBAD CA
92008-2108
US

IV. Provider business mailing address

7900 WESTPARK DR ATTN: MEDICARE BILLING, M. GARCIA
MC LEAN VA
22102-4242
US

V. Phone/Fax

Practice location:
  • Phone: 760-720-9898
  • Fax: 760-720-0175
Mailing address:
  • Phone: 703-854-0823
  • Fax: 703-854-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number080000627CA
License Number StateCA

VIII. Authorized Official

Name: NANCY HALLECK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 760-720-9898