WINTER HAVEN (NPI# 1154392181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154392181 |
| Entity Type | Organization |
| Organization Name | WINTER HAVEN |
| Practice Address |
546 Central Ave Fillmore CA 93015-1332 |
| Mailing Address |
715 E Santa Paula St Santa Paula CA 93060-2063 |
| Practice Telephone | 8055243040 |
| Practice Fax Number | 8055243040 |
| Mailing Telephone | 8055250305 |
| Mailing Fax Number | 8055257776 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN ELBANOWSKI (CEO/CFO) |
| Authorized Official Telephone | 8055250305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60945F | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Winter Haven 2 LLC | 715 W Main St Ste 301, Aspen, CO 81611 |
| Colorado Business Entities | Winter Haven Appraisals LLC | 6955 Hillock Drive, Colorado Springs, CO 80922 |
| Washington State Corporations | WINTER HAVEN CONSULTING AND TRAINING LLC | 6124 65th Ave Se, Snohomish, WA 98290 |
| System for Award Management (SAM) Entities | WINTER HAVEN DIALYSIS | 1625 Unity Way Nw, Winter Haven, FL 33881-2107 |
| System for Award Management (SAM) Entities | WINTER HAVEN FACILITY OPERATIONS, LLC | 2701 Lake Alfred Rd, Winter Haven, FL 33881-1432 |
| Vermont Business Registrations | WINTER HAVEN FARM, LLC | 87 Raymond Hill Rd, Orwell, VT 05760 |
| System for Award Management (SAM) Entities | WINTER HAVEN HEALTH & REHABILITATION CENTER | 202 Avenue O Ne, Winter Haven, FL 33881-2409 |
| System for Award Management (SAM) Entities | WINTER HAVEN HOSPITAL, INC. | 200 Ave F Northeast, Winter Haven, FL 33881-4131 |
| Virginia Business Entities | WINTER HAVEN LIMITED PARTNERSHIP L.L.P. | 1804 Narrows Ln, Silver Spring, Maryland 20906 |
| Colorado Business Entities | WINTER HAVEN LLC | 8205 Swadley St, Arvada, CO 80005 |
| Street Address |
546 CENTRAL AVE |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669610267 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 546 Central Ave, Fillmore, CA 93015-1332 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| Find all providers in zip 93015 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201284 | Rural Haven | Intermediate Care Facility, Mentally Retarded | 431 Saratoga St, Fillmore, CA 93015-1531 | 2006-01-28 |
| 1669610267 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 546 Central Ave, Fillmore, CA 93015-1332 | 2009-02-04 |
| 1578701173 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 431 Saratoga St, Fillmore, CA 93015-1531 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.