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Braswells Ivy Retreat Ltd
Skilled Nursing Facility in Mentone, California
NPI 1750352191

Braswells Ivy Retreat Ltd is a Skilled Nursing Facility based in Mentone, CA. Braswells Ivy Retreat Ltd practices in Mentone, CA. The NPI Number for Braswells Ivy Retreat Ltd is 1750352191 and holds a License No. 240000158 (California).

The current practice location address for Braswells Ivy Retreat Ltd is 2278 Nice Ave, Mentone, CA and can be reached out via phone at 909-794-1189 and via fax at 909-389-7449.

Location: 2278 Nice Ave, Mentone, CA, 92359-9655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750352191
Provider Name
Braswells Ivy Retreat Ltd
Credential
Provider Entity Type
Organization
Address
2278 Nice Ave, Mentone, CA, 92359-9655
Phone Number
909-794-1189
Fax Number
909-389-7449
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05985I 05 CA
555025 01 CA MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2278 Nice Ave
City
Mentone
State
California
Zip
92359-9655
Phone Number
909-794-1189
Fax Number
909-389-7449
person
Provider Business Mailing Address Details
Address
2278 Nice Ave
City
Mentone
State
California
Zip
92359-9655
Phone Number
909-794-1189
Fax Number
909-389-7449
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
240000158 (California)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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