Basic Information
| Provider Information | |||||||||
| NPI: | 1942399555 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LA CUMBRE SENIOR LIVING CONCEPTS | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 3880 VIA LUCERO | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056876651 | ||||||||
| FaxNumber: | 8056825208 | ||||||||
| Practice Location | |||||||||
| Address1: | 3880 VIA LUCERO | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056876651 | ||||||||
| FaxNumber: | 8056825208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WARREN | ||||||||
| AuthorizedOfficialFirstName: | LANDER | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8056876651 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | NHA4701 | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | CA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.