GROSSMONT HOSPITAL CORPORATION (NPI# 1134187941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187941 |
| Entity Type | Organization |
| Organization Name | GROSSMONT HOSPITAL CORPORATION |
| Other Organization Name | SHARP LAKEVIEW HOME |
| Practice Address |
9472 Loren Dr La Mesa CA 91942-3907 |
| Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
| Practice Telephone | 6196686995 |
| Mailing Telephone | 8584993025 |
| Mailing Fax Number | 8584994738 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | SCOTT EVANS (CEO) |
| Authorized Official Telephone | 6197404648 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROSSMONT HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 080000656 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sharp LakeView Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801256789 | Grossmont Hospital Corporation | Pharmacy | 5555 Grossmont Center Dr # A217, La Mesa, CA 91942-3019 | 2016-03-04 |
| 1467810952 | Grossmont Hospital Corporation | Hospice Care, Community Based | 3850 Valley Vista Rd, Bonita, CA 91902-1206 | 2016-01-29 |
| 1447409081 | Grossmont Hospital Corporation | Hospice, Inpatient | 5788 Lyden Way, San Diego, CA 92120-4544 | 2008-09-18 |
| 1457330300 | Grossmont Hospital Corporation | Durable Medical Equipment & Medical Supplies | 3558 Ruffin Rd Ste 100, San Diego, CA 92123-2596 | 2006-01-10 |
| 1932485307 | Grossmont Hospital Corporation | Pharmacy | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2011-10-28 |
| 1336338805 | Grossmont Hospital Corporation | General Acute Care Hospital | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-10-19 |
| 1427037308 | Grossmont Hospital Corporation | Hospice Care, Community Based | 8881 Fletcher Pkwy, Suite 336, La Mesa, CA 91942-3134 | 2006-01-10 |
| 1043293871 | Grossmont Hospital Corporation | Rehabilitation Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
| 1417930249 | Grossmont Hospital Corporation | Skilled Nursing Facility | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
| 1568445419 | Grossmont Hospital Corporation | Psychiatric Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GROSSMONT HOSPITAL CORPORATION | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Street Address |
9472 LOREN DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
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| 1548631906 | United Hospice, Inc. | Hospice, Inpatient | 14638 Rodeo Dr, Victorville, CA 92395-4133 | 2015-10-12 |
| 1396131041 | Hdmc Holdings, LLC | Hospice, Inpatient | 6601 White Feather Rd Ste A-5, Joshua Tree, CA 92252-6607 | 2015-04-09 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| 1053714972 | Active Angel Caregiver Agency | Hospice, Inpatient | 13605 Heather Way, Hawthorne, CA 90250-6474 | 2014-10-06 |
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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.