Provider Demographics
NPI:1629339809
Name:ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP
Entity Type:Organization
Organization Name:ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-800-1191
Mailing Address - Street 1:415 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3838
Mailing Address - Country:US
Mailing Address - Phone:626-282-3151
Mailing Address - Fax:626-281-4923
Practice Address - Street 1:415 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3838
Practice Address - Country:US
Practice Address - Phone:626-282-3151
Practice Address - Fax:626-281-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA950000008314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA055760OtherMEDICARE ID-TYPE UNSPECIFIED
CAZZT05760FMedicaid