Organization · Type 2 NPI

Masonic Homes of California

Skilled Nursing Facility · Covina, CA

NPI number 1639726102 Active

Practice location

161 S Reeder Ave
Covina, CA 91724-3129

Call (626) 251-2316 Map

Mailing address

1650 E Old Badillo St
Covina, CA 91724-3163

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	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…

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NPI record

NPI: 1639726102
Entity type: Organization (Type 2)
Issued: Aug 20, 2019
Last updated: Oct 17, 2023
Status: Active
Subpart: Yes of Masonic Homes of California

Other names

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Citrus Heights Health Center · doing business as

Authorized official

Vincent L Gonzaga
Skilled Nursing Administrator
(626) 251-2230

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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 1639726102

Masonic Homes of California's National Provider Identifier is 1639726102, issued on Aug 20, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Covina, CA. The record was last updated on Oct 17, 2023.