Organization · Type 2 NPI

GHC of Upland Snf, LLC

Skilled Nursing Facility · Upland, CA

NPI number 1770768509 Active

Practice location

275 Garnet Way
Upland, CA 91786-5932

Fax (909) 949-8761

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	240000465 (CA)

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…

2 other providers at this address

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NPI record

NPI: 1770768509
Entity type: Organization (Type 2)
Issued: Dec 28, 2007
Last updated: Sep 17, 2026
Status: Active

Other names

<unavail>
Heritage Park Nursing Center · doing business as
Heritage Park Nursing Center · doing business as

Authorized official

Lois A Mastrocola
Chief Financial Officer
(714) 241-5600

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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 1770768509

GHC of Upland Snf, LLC's National Provider Identifier is 1770768509, issued on Dec 28, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Upland, CA. The record was last updated on Sep 17, 2026.