Healthcare Provider Details

I. General information

NPI: 1912094418
Provider Name (Legal Business Name): HEMET VALLEY MEDICAL CENTER SUBACUTE UNIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 E DEVONSHIRE AVE
HEMET CA
92543
US

IV. Provider business mailing address

1117 E DEVONSHIRE AVE
HEMET CA
92543
US

V. Phone/Fax

Practice location:
  • Phone: 951-652-2811
  • Fax: 951-925-6323
Mailing address:
  • Phone: 951-652-2811
  • Fax: 951-925-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MICHAEL M GARKO
Title or Position: CFO INTERIM CEO
Credential: CPA
Phone: 951-766-6472