Provider Demographics
NPI:1023857265
Name:NEW START CLHF'S INDEPENDENT TRAINING CENTERS BERMUDA HOUSE
Entity type:Organization
Organization Name:NEW START CLHF'S INDEPENDENT TRAINING CENTERS BERMUDA HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/CEO
Authorized Official - Phone:818-606-1611
Mailing Address - Street 1:10318 LARAMIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2530
Mailing Address - Country:US
Mailing Address - Phone:818-606-1611
Mailing Address - Fax:
Practice Address - Street 1:19640 BERMUDA ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-1908
Practice Address - Country:US
Practice Address - Phone:818-606-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW START CLHF'S INDEPENDENT TRAINING CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility