Healthcare Provider Details

I. General information

NPI: 1578121653
Provider Name (Legal Business Name): ROLLING HILLS CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 STILLMAN ST
SELMA CA
93662-3026
US

IV. Provider business mailing address

4525 WILSHIRE BLVD STE 210
LOS ANGELES CA
90010-3846
US

V. Phone/Fax

Practice location:
  • Phone: 559-896-4990
  • 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: AARON CHESLEY
Title or Position: CEO
Credential:
Phone: 858-353-3849