Organization · Type 2 NPI

South Coast Health & Wellness Corporation

Skilled Nursing Facility · Riverside, CA

NPI number 1104851716 Active

Practice location

4768 Palm Ave
Riverside, CA 92501-4012

Fax (951) 686-0148

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	250000115 (CA)
Skilled Nursing Facility	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

Another provider at this address

Community Care On Palm Riverside, LLCSkilled Nursing Facility Riverside, CA NPI 1619560216

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NPI record

NPI: 1104851716
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Jan 21, 2020
Status: Active

Other names

<unavail>
Community Care On Palm · doing business as
Community Care On Palm · doing business as

Authorized official

Mrs. Cheryl Jumonville
President/owner
(951) 686-9001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104851716

South Coast Health & Wellness Corporation's National Provider Identifier is 1104851716, issued on Jul 11, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Riverside, CA. The record was last updated on Jan 21, 2020.