Provider Demographics
NPI:1174650873
Name:VALLEY VIEW SANITARIUM & REST HOME
Entity Type:Organization
Organization Name:VALLEY VIEW SANITARIUM & REST HOME
Other - Org Name:VIEW POINTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RETTINGHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-267-8400
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91951-0090
Mailing Address - Country:US
Mailing Address - Phone:619-267-8400
Mailing Address - Fax:619-267-0892
Practice Address - Street 1:2130 E 8TH ST
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2802
Practice Address - Country:US
Practice Address - Phone:619-267-6657
Practice Address - Fax:619-267-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC80108FMedicaid