Provider Demographics
NPI:1598576472
Name:LA CADENA MANOR CORPORATION
Entity type:Organization
Organization Name:LA CADENA MANOR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:DATUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-245-4523
Mailing Address - Street 1:PO BOX 154
Mailing Address - Street 2:
Mailing Address - City:HELENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:92342-0154
Mailing Address - Country:US
Mailing Address - Phone:760-245-4523
Mailing Address - Fax:909-317-2546
Practice Address - Street 1:25445 NATIONAL TRAILS HWY
Practice Address - Street 2:
Practice Address - City:HELENDALE
Practice Address - State:CA
Practice Address - Zip Code:92342-9794
Practice Address - Country:US
Practice Address - Phone:760-245-4523
Practice Address - Fax:909-317-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient