MEDICARE: CLAIREMONT HEALTHCARE & WELLNESS CENTRE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	080000282	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336415926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAIREMONT HEALTHCARE & WELLNESS CENTRE, LLC

Provider Business Mailing Address
First Line	:	8060 FROST ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2703
Country	:	US
Telephone Number	:	858-278-4750
Fax Number	:	858-278-8077

Provider Business Practice Location Address
First Line	:	8060 FROST ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2703
Country	:	US
Telephone Number	:	858-278-4750
Fax Number	:	858-278-8077

Authorized Official
Title or Position	:	CEO
Name	:	SHLOMO RECHNITZ
Credential	:
Telephone Number	:	626-800-1191

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	05/02/2022

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