Healthcare Provider Details

I. General information

NPI: 1932231370
Provider Name (Legal Business Name): HENRY MAYO NEWHALL MEM HOSP SNF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

IV. Provider business mailing address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-8000
  • Fax: 661-253-8142
Mailing address:
  • Phone: 661-253-8000
  • Fax: 661-253-8142

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. ROGER E SEAVER
Title or Position: PRESIDENT AND C.E.O.
Credential:
Phone: 661-253-8000