Healthcare Provider Details

I. General information

NPI: 1740277037
Provider Name (Legal Business Name): HEALTHCARE MANAGEMENT SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 W 7TH ST
SAN JACINTO CA
92582-3814
US

IV. Provider business mailing address

980 W 7TH ST
SAN JACINTO CA
92582-3814
US

V. Phone/Fax

Practice location:
  • Phone: 951-654-9347
  • Fax: 951-654-6106
Mailing address:
  • Phone: 951-654-9347
  • Fax: 951-654-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MICHAEL W. ELBERT
Title or Position: ADMINISTRATOR
Credential:
Phone: 951-654-9347