# FOOTHILL HEIGHTS CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Heights Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457719783
- **Authorized official:** MR. EZEQUIEL BERCOVICH (CEO)
- **Authorized official phone:** (213) 948-0193

## Contact information

- **Practice address:** 1515 N FAIR OAKS AVE, PASADENA, CA 91103-1808
- **Practice address phone:** (626) 798-1111
- **Practice address fax:** (626) 469-3430
- **Mailing address:** 1515 N FAIR OAKS AVE, PASADENA, CA 91103-1808
- **Mailing address phone:** (626) 798-1111
- **Mailing address fax:** (626) 469-3430

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 09/08/2023