Healthcare Provider Details

I. General information

NPI: 1467447102
Provider Name (Legal Business Name): CONTINUUM HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S IMPERIAL AVE
EL CENTRO CA
92243-4208
US

IV. Provider business mailing address

27 BLUFF COVE DR
ALISO VIEJO CA
92656-8077
US

V. Phone/Fax

Practice location:
  • Phone: 760-352-8471
  • Fax: 760-352-5573
Mailing address:
  • Phone: 949-643-8878
  • Fax: 949-643-0908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0900103
License Number StateCA

VIII. Authorized Official

Name: CATHERINE KEIL
Title or Position: PRESIDENT
Credential:
Phone: 949-643-8878