SOUTH PASADENA CARE CENTER, LLC (NPI# 1134505720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134505720 |
| Entity Type | Organization |
| Organization Name | SOUTH PASADENA CARE CENTER, LLC |
| Other Organization Name | SOUTH PASADENA CARE CENTER |
| Practice Address |
904 Mission St South Pasadena CA 91030-3144 |
| Mailing Address |
831 S Lake St Los Angeles CA 90057-4013 |
| Practice Telephone | 6263990358 |
| Practice Fax Number | 6264606097 |
| Mailing Telephone | 2133809175 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | ELLIOT ZEMEL (MEMBER OF LLC) |
| Authorized Official Telephone | 2133809175 |
| 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 | SKILLED NURSING FACILITY LICENSE | 970000038 | 01 |
| Other Name | Type Code |
|---|---|
| South Pasadena Care Center | Doing Business As Name - Organization |
| Street Address |
904 MISSION ST |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699780064 | South Pasadena Rehabilitation Center, LLC | Skilled Nursing Facility | 904 Mission St, South Pasadena, CA 91030-3144 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1699780064 | South Pasadena Rehabilitation Center, LLC | Skilled Nursing Facility | 904 Mission St, South Pasadena, CA 91030-3144 | 2006-07-31 |
| 1083660542 | Dolphins View Health Care Associates LLC | Skilled Nursing Facility | 1820 Shore Dr S, South Pasadena, FL 33707-4601 | 2006-05-26 |
| 1194726638 | Boca Ciega Investors LLC | Skilled Nursing Facility | 1255 Pasadena Ave S, Suite C, South Pasadena, FL 33707-6200 | 2005-08-09 |
| 1124022603 | Ltcsp Pasadena, LLC | Skilled Nursing Facility | 1430 Pasadena Ave S, South Pasadena, FL 33707-3716 | 2005-06-13 |
| 1508110909 | Lp St. Petersburg Pasadena, LLC | Skilled Nursing Facility | 1430 Pasadena Ave S, South Pasadena, FL 33707-3716 | 2012-11-07 |
| 1578832218 | 1820 Shore Drive Operations LLC | Skilled Nursing Facility | 1820 Shore Dr S, South Pasadena, FL 33707-4601 | 2011-12-27 |
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| 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 |
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| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.