13075 Blackbird Street Opco, LLC
Skilled Nursing Facility in Garden Grove, California
1497512693- Practice location
- 13075 Blackbird St, Garden Grove, CA 92843-2902
- Phone
- 714-530-6322
- Fax
- —
- Last updated
- March 4, 2024
13075 Blackbird Street Opco, LLC is a healthcare organization based in Garden Grove, CA. 13075 Blackbird Street Opco, LLC practices in Garden Grove, CA. The NPI Number for 13075 Blackbird Street Opco, LLC is 1497512693. The current practice location address for 13075 Blackbird Street Opco, LLC is 13075 Blackbird St, Garden Grove, CA 92843-2902 and can be reached out via phone at 714-530-6322.
Provider Profile Details
- NPI Number
- 1497512693
- Provider Name
- 13075 Blackbird Street Opco, LLC
- Provider Entity Type
- Organization
- Address
- 13075 Blackbird St, Garden Grove, CA 92843-2902
- Phone Number
- 714-530-6322
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Manager Of Bold Quail 3 Operations · 310-730-4800
- Other Names
- Alta Gardens Care Center (Doing Business As)
- Provider Enumeration Date
- March 4, 2024
- Last Update Date
- March 4, 2024
- Certification Date
- March 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13075 Blackbird St
Garden Grove, CA 92843-2902 - City
- Garden Grove
- State
- California
- Zip
- 92843-2902
- Phone Number
- 714-530-6322
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
- Phone Number
- 310-730-4800
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Garden Grove, CA
View all Skilled Nursing Facility providers in Garden Grove →Frequently Asked Questions
What is the NPI number of 13075 Blackbird Street Opco, LLC?
The NPI number of 13075 Blackbird Street Opco, LLC is 1497512693. It was assigned on March 4, 2024 and is currently active in the NPPES registry.
What is the specialty of 13075 Blackbird Street Opco, LLC?
13075 Blackbird Street Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 13075 Blackbird Street Opco, LLC practice?
The practice location is 13075 Blackbird St, Garden Grove, CA 92843-2902. The office can be reached at 714-530-6322 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497512693 directly on the NPPES registry website.