Organization
INTEGRATED ELDER CARE INC.
Active
Other names
Pacific Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON ACERETO (CEO)
(909) 809-8570
Entity
Organization
Contact information
Practice address
217 N GROVE ST, REDLANDS, CA 92374-6000
(909) 801-1911
(909) 557-8717
Mailing address
217 N GROVE ST, REDLANDS, CA 92374-6000
(909) 809-8570
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
CA
177F00000X
Lodging Provider
—
CA
251G00000X
Community Based Hospice Care Agency
—
CA
251J00000X
Nursing Care Agency
—
CA
310400000X
Assisted Living Facility
366426701
CA
3104A0625X
Assisted Living Facility (Mental Illness)
—
CA
311500000X
Alzheimer Center (Dementia Center)
—
CA
311Z00000X
Custodial Care Facility
—
CA
313M00000X
Nursing Facility/Intermediate Care Facility
—
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730627050
MEDI-CAL
CA
Enumeration date
02/07/2017
Last updated
01/06/2022
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