EISENHOWER NURSING & CONVALESCENT HOSPITAL , NPI 1619979754
Skilled Nursing Facility in PASADENA, CA
Last Updated on : Aug 22,2020
About EISENHOWER NURSING & CONVALESCENT HOSPITAL (NPI 1619979754)
EISENHOWER NURSING & CONVALESCENT HOSPITAL is a Skilled Nursing Facility in PASADENA, United States .
1619979754 is NPI number of EISENHOWER NURSING & CONVALESCENT HOSPITAL.
EISENHOWER NURSING & CONVALESCENT HOSPITAL's primary taxonomy code based on NPI Lookup is 314000000X with license number 970000077. This taxonomy code refers to Skilled Nursing Facility.
EISENHOWER NURSING & CONVALESCENT HOSPITAL current practice location address is 1470 N FAIR OAKS AVE, PASADENA, CA. EISENHOWER NURSING & CONVALESCENT HOSPITAL can be reached out via phone at 626-798-9133 and via fax at 626-798-7704 .
You can also correspond with EISENHOWER NURSING & CONVALESCENT HOSPITAL through mail at mailing address 1470 N FAIR OAKS AVE, PASADENA, CA, United States. Mailing address contact number is 626-798-9133.
The enumeration date of EISENHOWER NURSING & CONVALESCENT HOSPITAL is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of EISENHOWER NURSING & CONVALESCENT HOSPITAL is David Berger (President). David Berger can be reached at 6267989133.1619979754 NPI Information
Basic NPI information of EISENHOWER NURSING & CONVALESCENT HOSPITAL (NPI 1619979754) is provided below.
| Name | EISENHOWER NURSING & CONVALESCENT HOSPITAL |
|---|---|
| National Provider Id (NPI) | 1619979754 |
| Entity Type | Organization |
| Practice Address | 1470 N FAIR OAKS AVE,
PASADENA, CA, United States |
| Practice Telephone | 626-798-9133 |
| Practice Fax Number | 626-798-7704 |
| Mailing Address | 1470 N FAIR OAKS AVE ,
PASADENA, CA, United States |
| Mailing Telephone | 626-798-9133 |
| Mailing Fax Number | 626-798-7704 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 22-Aug-2020 |
EISENHOWER NURSING & CONVALESCENT HOSPITAL (NPI 1619979754) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 970000077 | CA |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 055617 | MEDICARE ID-Type Unspecified (04) | CA | Medicare Provider Number |
| ZZT05617J | MEDICAID (05) | CA |
EISENHOWER NURSING & CONVALESCENT HOSPITAL (NPI 1619979754) Office Location
Office location of EISENHOWER NURSING & CONVALESCENT HOSPITAL is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1689701732 | OLIVIA ESQUIBEL | Nurse Practitioner, Family | 351 S HUDSON AVE RM 30,
PASADENA, CA, United States |
27-Feb-2007 |
| 1457437311 | LUIS A. HERNANDEZ | Pediatrics | PO BOX 31001-0698,
PASADENA, AZ, United States |
31-Oct-2006 |
| 1194881524 | ROBERT HENRY BOOHER | Registered Nurse | PO BOX 31001-0698,
PASADENA, AZ, United States |
29-Dec-2006 |
| 1518023712 | ARLENE TEASYATWHO | Registered Nurse | P.O. BOX 31001-0698,
PASADENA, AZ, United States |
29-Dec-2006 |
| 1235314923 | SUMALEE SANGSURASAK | Dentist, Pediatric Dentistry | 1121 E GREEN ST,
SUITE A PASADENA, CA, United States |
01-Jan-2008 |
| 1598901167 | TORANG SHATZMILLER SEPAH | Psychiatry & Neurology, Psychiatry | 12715 PIONEER BLVD,
NORWALK, CA, United States |
01-Jan-2009 |
| 1770829301 | JACQUELYN MARTIN WALKER | Family Medicine, Adult Medicine | 831 S EL MOLINO AVE,
PASADENA, CA, United States |
01-Jan-2013 |
| 1295156644 | ANNA REDFERN | Student in an Organized Health Care Education/Training Program | 66 HURLBUT ST,
PASADENA, CA, United States |
01-Jan-2014 |
| 1477974822 | SARA SHIRRELL HOWARD | Midwife | 645 MAGNOLIA AVE,
PASADENA, CA, United States |
01-Jan-2014 |
| 1922165802 | TSEGAMLAK TELEALE WORKU | Marriage & Family Therapist | 1000 E WALNUT ST,
SUITE 115 PASADENA, CA, United States |
02-Jan-2007 |
| 1467519090 | PAULA DENNEY | Marriage & Family Therapist | 101 S MADISON AVE,
2ND FLOOR PASADENA, CA, United States |
02-Jan-2007 |
| 1588800106 | MARLENA GAYLE WHISNER | Counselor, Addiction (Substance Use Disorder) | 659 E WALNUT ST,
PASADENA, CA, United States |
02-Jan-2009 |
| 1093951618 | AMY GERTZ | Dietitian, Registered, Nutrition, Pediatric | 125 S SIERRA MADRE BLVD,
#307 PASADENA, CA, United States |
02-Jan-2009 |
| 1033489554 | KIANDRA SCOTT | Counselor | 36 S KINNELOA AVE,
SUITE 200 PASADENA, CA, United States |
02-Jan-2012 |
| 1801217260 | SUSAN LANELL SPITZER | Occupational Therapist | 572 EAST GREEN STREET,
SUITE 204 PASADENA, CA, United States |
02-Jan-2014 |
| 1922429349 | COMMUNITY HEALTH ALLIANCE OF PASADENA | Clinic/Center, Federally Qualified Health Center (FQHC) | 455 W MONTANA ST,
PASADENA, CA, United States |
02-Jan-2014 |
| 1336537190 | ZELENA SHAW | Licensed Practical Nurse | 4212 N 16TH ST,
PHOENIX, AZ, United States |
02-Jan-2015 |
| 1316335177 | AUDREY VERGE | Licensed Practical Nurse | PO BOX 31001-0698,
PASADENA, CA, United States |
02-Jan-2015 |
| 1568850253 | CHERRELYN ESTELL | Nurse Practitioner, Family | PO BOX 92944,
PASADENA, CA, United States |
02-Jan-2015 |
| 1639686488 | SUSAN BETH FORREST | Counselor, Addiction (Substance Use Disorder) | 1646 N FAIR OAKS AVE,
PASADENA, CA, United States |
02-Jan-2018 |
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FAQs
Whose NPI Number is 1619979754?1619979754 is the NPI number of EISENHOWER NURSING & CONVALESCENT HOSPITAL.
Where is EISENHOWER NURSING & CONVALESCENT HOSPITAL located?EISENHOWER NURSING & CONVALESCENT HOSPITAL is located at 1470 N FAIR OAKS AVE, PASADENA, CA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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