ST. JOHN'S RETIREMENT VILLAGE, INC.


Address: 135 Woodland Ave, Woodland, CA 95695-2701
Phone: 5306621290

ST. JOHN'S RETIREMENT VILLAGE, INC. (NPI# 1114386745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114386745
Entity Type Organization
Organization Name ST. JOHN'S RETIREMENT VILLAGE, INC.
Practice Address 135 Woodland Ave
Woodland
CA 95695-2701
Practice Telephone 5306621290
Practice Fax Number 5306620852
Mailing Telephone 5306621290
Mailing Fax Number 5306620852
Enumeration Date 2016-02-10
Last Update Date 2016-02-10
Authorized Official Name MARY THERESE BROWN (CEO)
Authorized Official Telephone 5306621290
Authorized Official Credential MSG
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 5703000654 CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1891914784 05
PTN 056138 01

Office Location

Street Address 135 WOODLAND AVE
City WOODLAND
State CA
Zip Code 95695-2701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558432732 Dynamic Therapy Solutions Physical Therapist 135 Woodland Ave, Woodland, CA 95695-2701 2006-11-10
1124337811 Christina Smith Community Health Worker 135 Woodland Ave, Woodland, CA 95695-2701 2010-09-29
1366751000 Dynamic Therapy Solutions Inc. Clinic/Center 135 Woodland Ave, Woodland, CA 95695-2701 2010-09-29
1184872988 Collenn Cahill Kaff Speech-Language Pathologist 135 Woodland Ave, Woodland, CA 95695-2701 2008-09-04
1255500401 Judy Stubbs Occupational Therapy Assistant 135 Woodland Ave, Woodland, CA 95695-2701 2008-02-21
1598961781 Sean Beloud Physical Therapy Assistant 135 Woodland Ave, Woodland, CA 95695-2701 2007-06-25
1720283609 Sonia Carrasco Occupational Therapist 135 Woodland Ave, Woodland, CA 95695-2701 2007-06-19
1891914784 St John Retirement Village Skilled Nursing Facility 135 Woodland Ave, Woodland, CA 95695-2701 2007-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851144 Tariro Angela Sawaya Student in an Organized Health Care Education/Training Program 445 1st Street, Woodland, CA 95695 2020-08-14
1093277683 Christie Lynne Vice Marriage & Family Therapist 255 W Court St Ste D, Woodland, CA 95695 2019-04-02
1912479437 Phillips Scoliosis Center Chiropractor 375 W Main St., Ste C-1, Woodland, CA 95695 2018-12-21
1568947042 Nikhil Sibal Dentist Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 2018-10-01
1659860849 Savannah Ellizabeth Lindley Behavior Technician 260 West Main St, Woodland, CA 95695 2018-05-03
1982133344 Brittanie Ann Akey Behavior Technician 1102 Gary Way, Woodland, CA 95695 2017-06-08
1083163604 Arthur Hernandez Nurse Practitioner 215 West Beamer Street, Woodland, CA 95695 2016-09-23
1386191856 Kelly Lee Registered Nurse 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 2016-09-01
1730634486 Ida Nilanthi Lonnerdal Marriage & Family Therapist 455 First Street, Woodland, CA 95695 2016-08-23
1912365974 Yaretzi Counseling and Consulting LLC Social Worker 327 College St Ste 105, Woodland, CA 95695 2016-02-05
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295959534 Woodland Assisted Living Assisted Living Facility 310 4th St, Woodland, WA 98674-8488 2007-04-11

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1609476589 Southbay Care Home, Inc. Assisted Living Facility 19917 Anza Avenue, Torrance, CA 90503-2005 2020-10-29
1821697434 Global Regency Senior Care Services, LLC Assisted Living Facility 117 E 8th St, Long Beach, CA 90813-4397 2020-10-23
1689273419 Pacifica Slo LLC Assisted Living Facility 475 Marsh St, San Luis Obispo, CA 93401-6108 2020-10-22
1871192682 Pacifica Sfo LLC Assisted Living Facility 624 Laguna St, San Francisco, CA 94102-4217 2020-10-22
1528667367 Pacifica Sierra Vista Lp Assisted Living Facility 13815 Rodeo Dr, Victorville, CA 92395-5600 2020-10-22
1992304737 West Lyons Lp Assisted Living Facility 24305 Lyons Ave, Newhall, CA 91321-2344 2020-10-22
1619576451 Pacifica Orange County LLC Assisted Living Facility 2619 Orange Ave, Costa Mesa, CA 92627-4630 2020-10-22
1720687551 P San Leandro Lp Assisted Living Facility 348 W Juana Ave, San Leandro, CA 94577-3661 2020-10-22
1952900730 Pacifica Daly LLC Assisted Living Facility 995 E Market St, Daly City, CA 94014-2168 2020-10-22
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Competitor

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City WOODLAND
Zip Code 95695

Improve Information

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Dataset Information

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.

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