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NPI Code Detail

MEDICARE: EMBER HEALTH CARE CENTER GLENDALE

MEDICARE: EMBER HEALTH CARE CENTER GLENDALE
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
1314000000XSkilled Nursing FacilityZZT06111MCA

Other Identifiers

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

General Provider Information

NPI Number : 1871582841
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBER HEALTH CARE CENTER GLENDALE
Provider Business Mailing Address
First Line : 201 ALLEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2803
Country : US
Telephone Number : 818-845-8507
Fax Number : 818-845-7910
Provider Business Practice Location Address
First Line : 201 ALLEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2803
Country : US
Telephone Number : 818-845-8507
Fax Number : 818-845-7910
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. BERNIE BARCELONA
Credential :
Telephone Number : 818-845-8507
Provider Enumeration Date : 10/20/2005
Last Update Date : 08/22/2020

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Practice Location Address:
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91205-2803
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Practice Fax: 818-409-8930

Directions to “EMBER HEALTH CARE CENTER GLENDALE ” Practice Location

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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.

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