# ARROWHEAD HOME CONVALESCENT HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447248075
- **Authorized official:** MR. DON POPOVICH (ADMINISTRATOR)
- **Authorized official phone:** (909) 886-4731

## Contact information

- **Practice address:** 4343 N SIERRA WAY, SAN BERNARDINO, CA 92407-3822
- **Practice address phone:** (909) 887-4731
- **Practice address fax:** (909) 886-8399
- **Mailing address:** 4343 N SIERRA WAY, SAN BERNARDINO, CA 92407-3822
- **Mailing address phone:** (909) 887-4731
- **Mailing address fax:** (909) 886-8399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT11304G | — | CA |