ROSEVILLE CARE CENTER, INC. (NPI# 1154320463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154320463 |
| Entity Type | Organization |
| Organization Name | ROSEVILLE CARE CENTER, INC. |
| Other Organization Name | ROSEVILLE CONVALESCENT HOSPITAL INC |
| Practice Address |
1161 Cirby Way Roseville CA 95661-4421 |
| Mailing Address |
4020 Sierra College Blvd Suite 190 Rocklin CA 95677-3906 |
| Practice Telephone | 9167821238 |
| Practice Fax Number | 9167821238 |
| Mailing Telephone | 9166246230 |
| Mailing Fax Number | 9166246249 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | LARRY E BEAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9166246230 |
| Is Organization Subpart | Y |
| Parent Organization Name | HORIZON WEST HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000002 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR05886G | 05 |
| Other Name | Type Code |
|---|---|
| Roseville Convalescent Hospital Inc | Former Legal Business Name - Organization |
| Street Address |
1161 CIRBY WAY |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603826 | Tyler King | Speech-Language Pathologist | 1161 Cirby Way, Roseville, CA 95661-4421 | 2019-11-10 |
| 1427545409 | Kasondra Lynn Vanpykeren-gerth | Speech-Language Pathologist | 1161 Cirby Way, Roseville, CA 95661-4421 | 2018-04-16 |
| 1447708615 | Alyssa Goldie | Physical Therapist | 1161 Cirby Way, Roseville, CA 95661-4421 | 2016-09-16 |
| 1871891929 | Crocus Holdings, LLC | Skilled Nursing Facility | 1161 Cirby Way, Roseville, CA 95661-4421 | 2011-03-14 |
| 1356580906 | Kimberlee Ann Clark-raby | Nurse Practitioner | 1161 Cirby Way, Roseville, CA 95661-4421 | 2009-02-05 |
| 1962561902 | Pamela Kathryne Flohr | Speech-Language Pathologist | 1161 Cirby Way, Roseville Care Center, Roseville, CA 95661 | 2006-12-06 |
| 1427117464 | Marilyn Sue Greere | Occupational Therapist | 1161 Cirby Way, Roseville, CA 95661 | 2006-12-06 |
| 1023185568 | Hope Marilyn Broman | Physical Therapist | 1161 Cirby Way, Roseville, CA 95661 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1417354200 | Rhema-roseville Operating LLC | Skilled Nursing Facility | 25375 Kelly Rd, Roseville, MI 48066-4960 | 2014-11-24 |
| 1710026869 | Rv Facility Inc | Skilled Nursing Facility | 600 Sunrise Ave, Roseville, CA 95661-4110 | 2007-02-05 |
| 1881768323 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1000 Lovell Ave W, Roseville, MN 55113-4419 | 2006-11-17 |
| 1518068907 | S.c.a.r.c. Inc | Skilled Nursing Facility | 310 Oak Ridge Dr, Roseville, CA 95661-3420 | 2006-09-26 |
| 1225079684 | 527 Capital Group | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2006-06-09 |
| 1922088780 | Henry Ford Continuing Care Corp | Skilled Nursing Facility | 25375 Kelly Road, Roseville, MI 48066-4960 | 2006-01-18 |
| 1548269863 | Sierra Hills Care Center, Inc. | Skilled Nursing Facility | 1139 Cirby Way, Roseville, CA 95661-4421 | 2005-07-19 |
| 1568460293 | Presbyterian Homes of Roseville | Skilled Nursing Facility | 1910 County Road D W, Roseville, MN 55112-3503 | 2005-07-07 |
| 1578025482 | Rosebay, LLC | Skilled Nursing Facility | 310 Oak Ridge Dr, Roseville, CA 95661-3420 | 2019-04-01 |
| 1669981130 | Roseville Opco, LLC | Skilled Nursing Facility | 1000 Lovell Ave W, Roseville, MN 55113-4459 | 2017-09-27 |
| Find all providers in ROSEVILLE | ||||
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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.