Provider Demographics
NPI:1497379580
Name:NAJEH HAMED
Entity Type:Organization
Organization Name:NAJEH HAMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAJEH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-320-7238
Mailing Address - Street 1:1065 W HUFF ST
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-6826
Mailing Address - Country:US
Mailing Address - Phone:786-219-6008
Mailing Address - Fax:
Practice Address - Street 1:1065 W HUFF ST
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-6826
Practice Address - Country:US
Practice Address - Phone:786-219-6008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAJEH HAMED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA361880833OtherSTATE LICENSE