Healthcare Provider Details

I. General information

NPI: 1669462784
Provider Name (Legal Business Name): MOUNTAIN VIEW CHILD CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10716 LA TUNA CANYON RD
SUN VALLEY CA
91352-2130
US

IV. Provider business mailing address

1720 MOUNTAIN VIEW AVE
LOMA LINDA CA
92354-1727
US

V. Phone/Fax

Practice location:
  • Phone: 818-252-5863
  • Fax:
Mailing address:
  • Phone: 909-796-6915
  • Fax:

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: DOUG PADGETT
Title or Position: CEO/OWNER
Credential:
Phone: 909-796-6915