PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (NPI# 1164429684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164429684 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA |
| Other Organization Name | PROVIDENCE HOME CARE |
| Practice Address |
3413 W Pacific Ave Ste 201 Burbank CA 91505-1555 |
| Practice Telephone | 8189534451 |
| Practice Fax Number | 8189537263 |
| Mailing Telephone | 8189534451 |
| Mailing Fax Number | 8189537263 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | MS. PATTY SCIORTINO (ADMINISTRATOR) |
| Authorized Official Telephone | 8188435111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 980000499 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA07627F | 05 |
| Other Name | Type Code |
|---|---|
| Providence Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700890514 | Providence Health System-southern California | Home Health | 5315 Torrance Blvd, Ste B-169, Torrance, CA 90503-4011 | 2006-07-28 |
| 1356962385 | Providence Health System-southern California | Pharmacy | 18370 Burbank Blvd Ste 104, Tarzana, CA 91356-2804 | 2020-04-30 |
| 1821250762 | Providence Health System-southern California | General Acute Care Hospital | 18321 Clark St, Tarzana, CA 91356-3501 | 2008-07-01 |
| 1508972456 | Providence Health System-southern California | Pharmacy | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-08-22 |
| 1821010315 | Providence Health System-southern California | Pharmacy | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | 501 S Buena Vista St, Burbank, CA 91505-4809 |
| Street Address |
3413 W PACIFIC AVE STE 201 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245639764 | Steven D Newton Physical Therapist Inc | Clinic/Center | 3413 W Pacific Ave, 102, Burbank, CA 91505-1555 | 2014-08-20 |
| 1962788463 | Burbank Occupational Health Center Inc | Clinic/Center | 3413 W Pacific Ave, Suite 102, Burbank, CA 91505-1555 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1033710496 | Caring 4 You Home Health, Inc. | Home Health | 4119 W Burbank Blvd Ste 153, Burbank, CA 91505-2122 | 2020-11-03 |
| 1881295251 | Loyal Home Health Services | Home Health | 4119 W Burbank Blvd Ste 173, Burbank, CA 91505-2122 | 2020-11-03 |
| 1992306443 | Promise Home Health Care | Home Health | 4119 W Burbank Blvd Ste 170, Burbank, CA 91505-2122 | 2020-11-02 |
| 1811597180 | Sunny Days Home Health, Inc. | Home Health | 4119 W Burbank Blvd Ste 121, Burbank, CA 91505-2122 | 2020-10-27 |
| 1518567882 | California Home Health Services, Inc. | Home Health | 4119 W Burbank Blvd Ste 148, Burbank, CA 91505-2122 | 2020-10-27 |
| 1871193169 | Supreme Home Care Services Inc | Home Health | 4119 W Burbank Blvd Ste 182, Burbank, CA 91505-2122 | 2020-10-27 |
| 1134729437 | Mission Home Care Services Inc | Home Health | 4119 W Burbank Blvd Ste 188, Burbank, CA 91505-2122 | 2020-10-27 |
| 1700486271 | Bright Home Health Care | Home Health | 4119 W Burbank Blvd Ste 135, Burbank, CA 91505-2122 | 2020-10-26 |
| 1851990113 | Official Home Health Care | Home Health | 4119 W Burbank Blvd Ste 124, Burbank, CA 91505-2122 | 2020-10-19 |
| Find all providers in BURBANK | ||||
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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.