Provider Demographics
NPI:1710989843
Name:S B HEALTH CARE ACQUISITION INC
Entity Type:Organization
Organization Name:S B HEALTH CARE ACQUISITION INC
Other - Org Name:SANTA BARBARA HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:BLUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-892-4501
Mailing Address - Street 1:36 S. CALLE CESAR CHAVEZ
Mailing Address - Street 2:STE B
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103
Mailing Address - Country:US
Mailing Address - Phone:805-892-4501
Mailing Address - Fax:805-892-4511
Practice Address - Street 1:36 S. CALLE CESAR CHAVEZ
Practice Address - Street 2:STE B
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103
Practice Address - Country:US
Practice Address - Phone:805-892-4501
Practice Address - Fax:805-892-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101424OtherSTATE OF CA HMDRF LICENSE
CADME02302GMedicaid
CADME02302GMedicaid