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HARVEST MOON INTERMEDIATE CARE FACILITY- NURSING
NPI 1396907663
Nursing Facility/Intermediate Care Facility in West Covina, CA

Active since June 27, 2008
1017 E HARVEST MOON ST, WEST COVINA, CA 91792(626) 961-0076(626) 961-0076 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harvest Moon Intermediate Care Facility- Nursing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARVEST MOON INTERMEDIATE CARE FACILITY- NURSING (NPI 1396907663) is a healthcare organization registered as a nursing facility/intermediate care facility in West Covina, California and active in the NPI registry since June 2008. The organization lists Yolie Crume, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396907663
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHARVEST MOON INTERMEDIATE CARE FACILITY- NURSING
Location Address1017 E HARVEST MOON STWest Covina, CA 91792-1023
Mailing Address1017 E Harvest Moon StWest Covina, CA 91792-1023 · (626) 961-0076 · Fax (626) 961-0076
Phone(626) 961-0076
Fax(626) 961-0076
Organization SubpartNo
Authorized OfficialYolie CrumeAdministrator · (626) 551-7379
Enumeration DateJune 27, 2008
✔ NPI 1396907663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CA · 960001418
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1017 E HARVEST MOON ST, West Covina, CA 91792
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREQUEST HEALTH, INC
Nursing Facility/Intermediate Care Facility
1017 E HARVEST MOON ST
WEST COVINA, CA 91792
Los Angeles County (626) 665-8938
HARVESTMOON ICFDDN
Nursing Facility/Intermediate Care Facility
1017 E HARVEST MOON ST
WEST COVINA, CA 91792
Los Angeles County (626) 665-8938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harvest Moon Intermediate Care Facility- Nursing's NPI number?

The NPI number for Harvest Moon Intermediate Care Facility- Nursing is 1396907663. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Harvest Moon Intermediate Care Facility- Nursing located?

Harvest Moon Intermediate Care Facility- Nursing is located at 1017 E Harvest Moon St, West Covina, CA 91792. The listed phone number is (626) 961-0076.

What is Harvest Moon Intermediate Care Facility- Nursing's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Harvest Moon Intermediate Care Facility- Nursing was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.