Avenue H, LLC
Organization Active NPI Skilled Nursing Facility · Yucaipa, CA
NPI 1275928707 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1275928707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 240000224 (CA)
- Legal business name
- AVENUE H, LLC
- Practice address
- 35253 Avenue H
Yucaipa, CA 92399-5396 - Phone
- (909) 795-2476
- Fax
- (909) 795-0458
- NPI assigned
- Apr 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Steven R Powell
- Title
- President
- Phone
- (909) 457-2977
National Provider Directory
Locations
35253 Avenue H
Yucaipa, CA 92399
Phone (909) 795-2476
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 240000224 | CA | Yes |
Addresses
Primary practice location
35253 Avenue H
Yucaipa, CA 92399-5396
Mailing address
35253 Avenue H
Yucaipa, CA 92399-5415
Phone (909) 795-2476
Other names
- Creekside Care Center
Other providers in Yucaipa, CA
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- Kasra Roy Asnashari
- Kristofer Auer
- Aurora Sleep, Inc
- Jennifer Hayley Austin
- Delinda Avila
- Tamara Avram
- Karen Ann Baker
- Rebecca Ann Baldwin
- Joyce I Bandele
All providers in Yucaipa, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.