BLYTHE POST ACUTE LLC (NPI# 1194120030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194120030 |
| Entity Type | Organization |
| Organization Name | BLYTHE POST ACUTE LLC |
| Practice Address |
285 W Chanslor Way Blythe CA 92225-1246 |
| Mailing Address |
530 N Puente St Brea CA 92821-2804 |
| Practice Telephone | 7609228176 |
| Mailing Telephone | 8883090022 |
| Mailing Fax Number | 7142562003 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | MR. DAVID JOHNSON (CEO) |
| Authorized Official Telephone | 8883090022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC90055I | 05 |
| Street Address |
285 W CHANSLOR WAY |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450528 | Bncc, Inc. | Skilled Nursing Facility | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2005-07-12 |
| 1659779874 | Heather Parton | Occupational Therapy Assistant | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2014-12-22 |
| 1528408242 | Angela Tibbs | Physical Therapist | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1598895955 | Emmanuel R Mofu | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2007-03-06 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| Find all providers in zip 92225 | ||||
| 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 |
|---|---|---|---|---|
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1467450528 | Bncc, Inc. | Skilled Nursing Facility | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2005-07-12 |
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|---|---|---|---|---|
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| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 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 |
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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.