G & R ALAMEDA HEALTHCARE SERVICES, LLC (NPI# 1114119054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114119054 |
| Entity Type | Organization |
| Organization Name | G & R ALAMEDA HEALTHCARE SERVICES, LLC |
| Other Organization Name | CROWN BAY NURSING AND REHABILITATION CENTER |
| Practice Address |
508 Westline Dr Alameda CA 94501-5847 |
| Mailing Address |
445 S Fair Oaks Ave Pasadena CA 91105-2632 |
| Practice Telephone | 5105215765 |
| Practice Fax Number | 5105211977 |
| Mailing Telephone | 6263046900 |
| Mailing Fax Number | 6265642617 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | MR. TONY AGONCILLO (FINANCE MANAGER) |
| Authorized Official Telephone | 6263046900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06103H | 05 |
| Other Name | Type Code |
|---|---|
| Crown Bay Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
508 WESTLINE DR |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109042 | Benjamin Bradley Bernstein | Psychologist | 508 Westline Dr, Alameda, CA 94501-5847 | 2006-07-20 |
| 1437677655 | Sumaira Amrit Cheema | Nurse Practitioner | 508 Westline Dr, Alameda, CA 94501-5847 | 2017-09-07 |
| 1265971949 | California Post-acute Medical Group 1, Inc. | Hospitalist | 508 Westline Dr, Alameda, CA 94501-5847 | 2017-02-15 |
| 1083635924 | Snf Properties, Inc | Skilled Nursing Facility | 508 Westline Dr, Alameda, CA 94501-5847 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| 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 |
|---|---|---|---|---|
| 1972642387 | Mcarlson, Inc. | Skilled Nursing Facility | 625 Willow St, Alameda, CA 94501-5711 | 2007-02-05 |
| 1073575338 | Shoreline South Intermediate Care, Inc. | Skilled Nursing Facility | 430 Willow St, Alameda, CA 94501-6130 | 2006-04-03 |
| 1013904267 | The Waters Edge | Skilled Nursing Facility | 2401 Blanding Ave, Alameda, CA 94501-1503 | 2005-10-03 |
| 1699770867 | Marina Garden Nursing Center, Inc. | Skilled Nursing Facility | 3201 Fernside Blvd, Alameda, CA 94501-1709 | 2005-06-15 |
| 1396176160 | Alameda Health System | Skilled Nursing Facility | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2013-12-04 |
| 1386998664 | Bay View Rehabilitation Hospital LLC | Skilled Nursing Facility | 516 Willow St, Alameda, CA 94501-6132 | 2012-11-07 |
| 1578885778 | Alameda Healthcare & Wellness Center LLC | Skilled Nursing Facility | 430 Willow St, Alameda, CA 94501-6130 | 2010-02-16 |
| 1083635924 | Snf Properties, Inc | Skilled Nursing Facility | 508 Westline Dr, Alameda, CA 94501-5847 | 2006-07-23 |
| 1225059355 | City of Alameda Health Care District | Skilled Nursing Facility | 2070 Clinton Ave, Alameda, CA 94501-4320 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.