MEDICARE: LA CUMBRE SENIOR LIVING CONCEPTS

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

General Provider Information

NPI Number	:	1942399555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA CUMBRE SENIOR LIVING CONCEPTS

Provider Business Mailing Address
First Line	:	3880 VIA LUCERO
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1605
Country	:	US
Telephone Number	:	805-687-6651
Fax Number	:	805-682-5208

Provider Business Practice Location Address
First Line	:	3880 VIA LUCERO
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1605
Country	:	US
Telephone Number	:	805-687-6651
Fax Number	:	805-682-5208

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LANDER S WARREN
Credential	:	NHA4701
Telephone Number	:	805-687-6651

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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