MELON HOLDINGS LLC (NPI# 1184014680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184014680 |
| Entity Type | Organization |
| Organization Name | MELON HOLDINGS LLC |
| Other Organization Name | MARYSVILLE POST-ACUTE |
| Practice Address |
1617 Ramirez St Marysville CA 95901-4334 |
| Mailing Address |
100 E San Marcos Blvd Suite 200 San Marcos CA 92069-2986 |
| Practice Telephone | 5307427311 |
| Mailing Telephone | 7604710388 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MR. PAUL HUBBARD (MANAGING MEMBER) |
| Authorized Official Telephone | 7604710388 |
| 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 | PTAN | 555682 | 01 |
| CA | 1184014680 | 05 |
| Other Name | Type Code |
|---|---|
| Marysville Post-Acute | Doing Business As Name - Organization |
| Street Address |
1617 RAMIREZ ST |
| City | MARYSVILLE |
| State | CA |
| Zip Code | 95901-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912086976 | Marysville Nursing & Rehab LLC | Skilled Nursing Facility | 1617 Ramirez St, Marysville, CA 95901-4334 | 2006-11-02 |
| 1568823201 | Lacey Jean Leaf | Occupational Therapy Assistant | 1617 Ramirez St, Marysville, CA 95901-4334 | 2016-03-08 |
| 1497132062 | Nure Biane Kassas | Speech-Language Pathologist | 1617 Ramirez St, Marysville, CA 95901-4334 | 2015-05-02 |
| 1770989410 | Tracy Toussaint | Nurse Practitioner | 1617 Ramirez St, Marysville, CA 95901-4334 | 2014-11-07 |
| 1225446628 | Robert Jon Milani Jr. | Physical Therapy Assistant | 1617 Ramirez St, Marysville, CA 95901-4334 | 2014-07-29 |
| 1407264906 | Gurkeerat Johl | Occupational Therapist | 1617 Ramirez St, Marysville, CA 95901-4334 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1710486170 | County of Sutter | Community/Behavioral Health | 8 7th Street, Marysville, CA 95901 | 2018-02-12 |
| 1144747676 | Amanda Shaye Martinez | Counselor | 103 D St., Marysville, CA 95901 | 2017-08-25 |
| 1912424557 | Jasmine Nicole Powers-mesna | Behavior Technician | 413 Pine Street, Marysville, CA 95901 | 2017-08-24 |
| 1457874729 | Rena Raju | Counselor | 1496 N. Beale Rd, Marysville, CA 95901 | 2017-07-19 |
| 1700319027 | Daniel Joseph Desmond V | Specialist/Technologist | 12 E 18th St, Marysville, CA 95901 | 2017-04-04 |
| 1720510340 | Austin James Parr | Specialist/Technologist | 1919 B St, Marysville, CA 95901 | 2017-04-02 |
| 1720411549 | Ann Marie Vallier | Counselor | 320 H Street, Suite 2, Marysville, CA 95901 | 2013-08-15 |
| 1790968725 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 Dubois Street, Suite B, San Rafael, CA 95901 | 2007-12-13 |
| 1275742405 | Yuba County Children and Families At Risk Program | Community/Behavioral Health | 209 6th Street, Marysville, CA 95901 | 2007-05-22 |
| Find all providers in zip 95901 | ||||
| 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 |
|---|---|---|---|---|
| 1912086976 | Marysville Nursing & Rehab LLC | Skilled Nursing Facility | 1617 Ramirez St, Marysville, CA 95901-4334 | 2006-11-02 |
| 1730279480 | Blue Valley Health Care, Inc. | Skilled Nursing Facility | 1100 N 16th St, Marysville, KS 66508-1126 | 2006-10-13 |
| 1790896835 | Millcrest Healthcare Group, Inc. | Skilled Nursing Facility | 730 Millcrest Dr, Marysville, OH 43040-1833 | 2006-08-31 |
| 1972545283 | Heartland of Marysville Oh LLC | Skilled Nursing Facility | 755 S Plum St, Marysville, OH 43040-1631 | 2006-06-12 |
| 1023062247 | Cascade Medical Investors Limited Partnership | Skilled Nursing Facility | 1821 Grove St, Marysville, WA 98270-4329 | 2006-05-20 |
| 1275520124 | Gables At Green Pastures | Skilled Nursing Facility | 390 Gables Dr, Marysville, OH 43040-8358 | 2005-10-05 |
| 1326030826 | Madeleine Villa Inc. | Skilled Nursing Facility | 5925 47th Ave Ne, Marysville, WA 98270-5152 | 2005-08-19 |
| 1871016139 | Milcrest Healthcare Inc | Skilled Nursing Facility | 730 Millcrest Dr, Marysville, OH 43040-1833 | 2017-07-19 |
| 1881060507 | Marysville Operations, LLC | Skilled Nursing Facility | 1821 Grove St, Marysville, WA 98270-4329 | 2015-08-17 |
| 1275978520 | Allen Creek Healthcare, Inc. | Skilled Nursing Facility | 5925 47th Ave Ne, Marysville, WA 98270-5152 | 2013-04-30 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 95901 |
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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.