Provider Demographics
NPI:1730643669
Name:SANTA MARIA HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SANTA MARIA HEALTHCARE, INC.
Other - Org Name:VILLA MARIA HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:425 BARCELLUS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6901
Mailing Address - Country:US
Mailing Address - Phone:805-922-5548
Mailing Address - Fax:805-922-5548
Practice Address - Street 1:425 BARCELLUS AVE
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6901
Practice Address - Country:US
Practice Address - Phone:805-922-5548
Practice Address - Fax:805-922-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility