Organization
ALTA CARE CENTER, LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Alta Gardens Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
13075 BLACKBIRD STREET, GARDEN GROVE, CA 92843-2902
(714) 530-6322
(714) 530-0284
Mailing address
13075 BLACKBIRD STREET, GARDEN GROVE, CA 92843-2902
(714) 530-6322
(714) 530-0284
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55473G
—
CA
Enumeration date
10/18/2005
Last updated
02/01/2016
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