SSC PASADENA OPERATING COMPANY LLC (NPI# 1104947647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104947647 |
| Entity Type | Organization |
| Organization Name | SSC PASADENA OPERATING COMPANY LLC |
| Other Organization Name | FAITH MEMORIAL NURSING HOME |
| Practice Address |
811 Garner Rd Pasadena TX 77502-2315 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 7134738573 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | KELLE C SANTORO (SR DIRECTOR AR) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 114137 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001012932 | 05 |
| Other Name | Type Code |
|---|---|
| Faith Memorial Nursing Home | Doing Business As Name - Organization |
| Street Address |
811 GARNER RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621531 | David Barrios | Physical Therapy Assistant | 811 Garner Rd, Pasadena, TX 77502-2315 | 2018-09-04 |
| 1366924573 | Simone Wallis Boota | Occupational Therapy Assistant | 811 Garner Rd, Pasadena, TX 77502-2315 | 2018-09-04 |
| 1780164756 | Mithun Raju | Physical Therapist | 811 Garner Rd, Pasadena, TX 77502-2315 | 2018-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721372 | Jigar Kadakia Md Inc | Skilled Nursing Facility | 844 Magnolia Ave Apt 5, Pasadena, CA 91106-4611 | 2020-02-11 |
| 1154968055 | Pasadena Congregate Living, Inc. | Skilled Nursing Facility | 1165 N Summit Ave, Pasadena, CA 91103-2655 | 2019-12-10 |
| 1891142006 | Rose Garden Subacute & Rehabilitation Center LLC | Skilled Nursing Facility | 1899 N Raymond Ave, Pasadena, CA 91103-1733 | 2016-05-17 |
| 1700136132 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 East Sam Houston Parkway South, Pasadena, TX 77505 | 2012-09-13 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1295011302 | Severna Park Center | Skilled Nursing Facility | 8671 Scorton Harbour, Pasadena, MD 21122-6513 | 2011-11-02 |
| 1801171186 | Baywood Crenshaw LLC | Skilled Nursing Facility | 5020 Space Center Blvd, Pasadena, TX 77505-3966 | 2011-10-18 |
| 1912125683 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4048 Red Bluff Road, Pasadena, TX 77503 | 2007-04-20 |
| 1154480234 | Slch Inc | Skilled Nursing Facility | 1570 N Fair Oaks Ave, Pasadena, CA 91103 | 2006-12-06 |
| 1992864995 | Arpom Inc | Skilled Nursing Facility | 1920 N Fair Oaks Ave, Pasadena, CA 91103 | 2006-12-06 |
| Find all providers in PASADENA | ||||
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| 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.