Provider Demographics
NPI:1467830836
Name:HEIGHT STREET SKILLED CARE, LLC
Entity Type:Organization
Organization Name:HEIGHT STREET SKILLED CARE, LLC
Other - Org Name:HEIGHT STREET SKILLED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PREIMESBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-220-2408
Mailing Address - Street 1:PO BOX 1905
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-1905
Mailing Address - Country:US
Mailing Address - Phone:213-220-4808
Mailing Address - Fax:
Practice Address - Street 1:1611 HEIGHT ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-2840
Practice Address - Country:US
Practice Address - Phone:661-872-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility