Cheshire - Health Care Facilities in California

Health Care Facilities in California

Here you can find all the California healthcare facilities that are operational and have a current license issued by the California Department of Public Health and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification. (Source: Center for Health Care Quality, California Department of Public Health. 2018. HealthcareFacilities-California_2018-09-05-CA-CDPH).

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Cheshire - Health Care Facilities in California

Facility Administrator's Fax Number	(626)966-0650
Facility Administrator's Phone Number	(760) 240-9896
County	SAN BERNARDINO
District Office That Oversees The Facility	SAN BERNARDINO
License Number	240000738
Business Name	PROVIDENT PLACE
Initial License Date	6-Aug-98
License Effective Date	25-Nov-18
License Expiration Date	24-Nov-19
Entity Type	PROFIT CORP
Street Number	13943
Street Name	TRIGGER LN
Local Health Jurisdiction Name	SAN BERNARDINO
Fips County Code	071
Facility Identification #	240001692
Health Care Facility Name	CHESHIRE
Facility Type	INTERMEDIATE CARE FACILITY-DD/H/N/CN/IID
Capacity (Number Or Licensed Beds)	8
Address	13943 TRIGGER LN
City	VICTORVILLE
Zip	92392
Zip9	6333
Facility Administrator	POLLARD, JAMES
Facility Administrator's E-Mail	DAN@PROVIDENTPLACE.COM