MEDICARE: ARROWHEAD HOME CONVALESCENT HOSPITAL

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		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	:	1447248075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROWHEAD HOME CONVALESCENT HOSPITAL

Provider Business Mailing Address
First Line	:	4343 N SIERRA WAY
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3822
Country	:	US
Telephone Number	:	909-887-4731
Fax Number	:	909-886-8399

Provider Business Practice Location Address
First Line	:	4343 N SIERRA WAY
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3822
Country	:	US
Telephone Number	:	909-887-4731
Fax Number	:	909-886-8399

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. DON POPOVICH
Credential	:
Telephone Number	:	909-886-4731

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1659768406 — ARROWHEAD HEALTHCARE CENTER LLC
Practice Location Address:

4343 N SIERRA WAY
SAN BERNARDINO, CA
92407-3822

Practice Phone: 909-886-4731
Practice Fax: 909-886-8399

1821887597 — JUANA GUTIERREZ
Practice Location Address:

797 CAMPUS WAY
SAN BERNARDINO, CA
92405-3822

Practice Phone: 909-708-2966
Practice Fax:

1437018298 — BEATRIZ AZEVEDO BRAGA
Practice Location Address:

4508 N SIERRA WAY
SAN BERNARDINO, CA
92407-3854

Practice Phone: 800-207-0272
Practice Fax:

1457210023 — GREGORY STILLS
Practice Location Address:

2302 DONALD ST
SAN BERNARDINO, CA
92407-6475

Practice Phone: 808-743-5360
Practice Fax:

1063394930 — JAZMIN MAGANA
Practice Location Address:

3786 SHANDIN DR
SAN BERNARDINO, CA
92407-5846

Practice Phone: 909-441-9245
Practice Fax:

1821980145 — AGUILAR COUNSELING & WELLNESS CORP
Practice Location Address:

4113 IRISH MOSS LN
SAN BERNARDINO, CA
92407-0622

Practice Phone: 909-905-5145
Practice Fax:

Directions to “ARROWHEAD HOME CONVALESCENT HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.