# COMMUNITY CARE REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700186590
- **Authorized official:** IRVING BAUMAN (OWNER)
- **Authorized official phone:** (714) 577-3880

## Contact information

- **Practice address:** 4070 JURAPA AVE, RIVERSIDE, CA 92506-2234
- **Practice address phone:** (951) 680-6500
- **Practice address fax:** (951) 680-6510
- **Mailing address:** 3050 SATURN ST, STE 201, BREA, CA 92821-6221
- **Mailing address phone:** (714) 577-3880
- **Mailing address fax:** (714) 577-3892

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 12/18/2015
