Provider Demographics
NPI:1699768879
Name:RAMONA REHABILITATION AND POST ACUTE CARE, INC.
Entity type:Organization
Organization Name:RAMONA REHABILITATION AND POST ACUTE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:VICKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-652-0011
Mailing Address - Street 1:485 W JOHNSTON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-7012
Mailing Address - Country:US
Mailing Address - Phone:951-652-0011
Mailing Address - Fax:951-658-1457
Practice Address - Street 1:485 W JOHNSTON AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-7012
Practice Address - Country:US
Practice Address - Phone:951-652-0011
Practice Address - Fax:951-658-1457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250000190314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT06214MMedicaid
CAZZT06214MMedicaid