PACIFIC CARE II (NPI# 1215541628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215541628 |
| Entity Type | Organization |
| Organization Name | PACIFIC CARE II |
| Practice Address |
1024 Jayhawk Way Modesto CA 95358-6714 |
| Mailing Address |
3708 Bold Ruler Ct Modesto CA 95355-8466 |
| Practice Telephone | 2095230124 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | NAVNEET GILL (CEO) |
| Authorized Official Telephone | 2095230124 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kind Care Home | Doing Business As Name - Organization |
| Street Address |
1024 JAYHAWK WAY |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-6714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| 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 |
|---|---|---|---|---|
| 1437291929 | Covenant Care California, LLC | Skilled Nursing Facility | 3620 Dale Rd, Suite B, Modesto, CA 95356-0598 | 2007-02-13 |
| 1932251808 | Cf Modesto, LLC | Skilled Nursing Facility | 159 East Orangeburg Avenue, Modesto, CA 95350 | 2007-01-18 |
| 1427110055 | Sky Park Health Care Inc. | Skilled Nursing Facility | 1611 Scenic Dr, Modesto, CA 95355-4907 | 2006-12-13 |
| 1033221999 | Yosemite Convalescent Hospital, Inc. | Skilled Nursing Facility | 159 E Orangeburg Ave, Modesto, CA 95350-5334 | 2006-08-31 |
| 1508884487 | Crestwood Behavioral Health, Inc. | Skilled Nursing Facility | 1400 Celeste Dr, Modesto, CA 95355-5041 | 2006-07-18 |
| 1801832464 | Fig Holdings, LLC | Skilled Nursing Facility | 1310 W Granger Ave, Modesto, CA 95350-3911 | 2006-06-21 |
| 1487641361 | Covenant Care California Inc | Skilled Nursing Facility | 3620b Dale Rd, Modesto, CA 95356-0500 | 2005-10-05 |
| 1851385843 | Avalon Care Center - Modesto Hylond, LLC | Skilled Nursing Facility | 1900 Coffee Rd, Modesto, CA 95355-2703 | 2005-09-06 |
| 1245237965 | Evergreen Convalescent Hospital and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2030 Evergreen Ave, Modesto, CA 95350-3785 | 2005-07-07 |
| 1154325512 | Ghc of Modesto, LLC | Skilled Nursing Facility | 2633 W Rumble Rd, Modesto, CA 95350-0154 | 2005-06-13 |
| Find all providers in MODESTO | ||||
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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.