# INDIO NURSING AND REHABILITATION CENTER INC.

> 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:** 1992799795
- **Authorized official:** JEFFERY BLAINE HENDRICKSON (PRESIDENT)
- **Authorized official phone:** (760) 347-0750

## Contact information

- **Practice address:** 47763 MONROE ST, INDIO, CA 92201-6711
- **Practice address phone:** (760) 347-0750
- **Practice address fax:** (760) 347-9322
- **Mailing address:** PO BOX 10487, SAN BERNARDINO, CA 92423-0487
- **Mailing address phone:** (909) 885-0268
- **Mailing address fax:** (909) 884-1722

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90078F | — | CA |