AG RANCHO MIRAGE, LLC (NPI# 1164416657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416657 |
| Entity Type | Organization |
| Organization Name | AG RANCHO MIRAGE, LLC |
| Other Organization Name | RANCHO MIRAGE HEALTH & REHABILITATION CENTER |
| Practice Address |
39950 Vista Del Sol Rancho Mirage CA 92270 |
| Practice Telephone | 7603400053 |
| Practice Fax Number | 7603416523 |
| Mailing Telephone | 7603400053 |
| Mailing Fax Number | 3105741322 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | JACOB WINTNER (MANAGER) |
| Authorized Official Telephone | 3236511808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 250000245 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55247G | 05 |
| Other Name | Type Code |
|---|---|
| Rancho Mirage Health & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
39950 VISTA DEL SOL |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213029 | Mohammad Khaleghifar | Physical Therapist | 39950 Vista Del Sol, Rancho Mirage, CA 92270-3206 | 2019-09-07 |
| 1922580562 | Bryan Joseph Young | Nurse Practitioner | 39950 Vista Del Sol, Rancho Mirage, CA 92270-3206 | 2018-08-30 |
| 1013122951 | Kimberly A Oles | Occupational Therapist | 39950 Vista Del Sol, Rancho Mirage, CA 92270-3206 | 2007-05-14 |
| 1942415898 | Timothy R Oles | Physical Therapist | 39950 Vista Del Sol, Rancho Mirage, CA 92270-3206 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| 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 |
|---|---|---|---|---|
| 1013906981 | Sunrise Senior Living Services, Inc | Skilled Nursing Facility | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 2005-10-13 |
| 1871902783 | S-h Opco Rancho Mirage, LLC | Skilled Nursing Facility | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 2014-08-05 |
| 1063827541 | S-h Opco Rancho Mirage, LLC | Skilled Nursing Facility | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 2014-06-24 |
| 1932417227 | Emericare Inc | Skilled Nursing Facility | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 2010-09-20 |
| 1831142397 | Eleven Pack Management Corp. | Skilled Nursing Facility | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 2006-05-18 |
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| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 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 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.