Healthcare Provider Details

I. General information

NPI: 1932555976
Provider Name (Legal Business Name): PREMIERE REHABILITATION & WELLNESS CENTER OF LANCASTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43830 10TH ST W
LANCASTER CA
93534-4826
US

IV. Provider business mailing address

400 EXCHANGE SUITE 140
IRVINE CA
92602-1340
US

V. Phone/Fax

Practice location:
  • Phone: 661-494-8600
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. SHLOMO RECHNITZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 626-800-1191