LANDMARK MEDICAL CENTER (NPI# 1073722005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073722005 |
Entity Type | Organization |
Organization Name | LANDMARK MEDICAL CENTER |
Other Organization Name | LANDMARK MEDICAL CENTER |
Practice Address |
2030 N Garey Ave Pomona CA 91767-2722 |
Practice Telephone | 9095932585 |
Practice Fax Number | 9095934120 |
Mailing Telephone | 9095932585 |
Mailing Fax Number | 9095934120 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-08-26 |
Authorized Official Name | ROSEMARY CAMPOS KILBY (ADMINISTRATOR) |
Authorized Official Telephone | 9095932585 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | 950000062 | CA | Residential Treatment Facilities |
Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Landmark Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942412002 | Landmark Medical Center | Clinical Neuropsychologist | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2007-05-03 |
1043297112 | Landmark Medical Center | Internal Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
1982681060 | Landmark Medical Center | Nuclear Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
1619954724 | Landmark Medical Center | Preventive Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
1285611392 | Landmark Medical Center | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
1629055751 | Landmark Medical Center | Pathology | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LANDMARK MEDICAL CENTER | 115 Cass Ave, Woonsocket, RI 02895-4705 |
Street Address |
2030 N GAREY AVE |
City | POMONA |
State | CA |
Zip Code | 91767-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790811610 | Samuel W Kaufman | Psychiatry & Neurology | 2030 N Garey Ave, Pomona, CA 91767-2722 | 2007-02-26 |
1790267292 | Jennifer A Nevitt | Psychologist | 2030 N Garey Ave, Pomona, CA 91767-2722 | 2018-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
Find all providers in zip 91767 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679172720 | Meadows | Psychiatric Residential Treatment Facility | 6395 Meadows Ct, Malibu, CA 90265-1706 | 2020-10-20 |
1912506064 | Point Dume | Psychiatric Residential Treatment Facility | 29149 Cliffside Dr, Malibu, CA 90265-4215 | 2020-10-20 |
1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LANDMARK MEDICAL CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.