CLOVIS HEALTHCARE AND REHABILITATION CENTER, LLC (NPI# 1225220387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225220387 |
| Entity Type | Organization |
| Organization Name | CLOVIS HEALTHCARE AND REHABILITATION CENTER, LLC |
| Other Organization Name | CLOVIS HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
1201 N Norris St Clovis NM 88101-6371 |
| Practice Telephone | 5757623753 |
| Practice Fax Number | 5757627566 |
| Mailing Telephone | 5757623753 |
| Mailing Fax Number | 5757627566 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1073 | NM | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Clovis Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1201 N NORRIS ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-6371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922496686 | Jalaina Foster | Speech-Language Pathologist | 1201 N Norris St, Clovis, NM 88101-6371 | 2015-01-05 |
| 1063800076 | Jose Jaime | Occupational Therapy Assistant | 1201 N Norris St, Clovis, NM 88101-6371 | 2014-12-27 |
| 1003204165 | Jennifer Bowman-campbell | Physical Therapist | 1201 N Norris St, Clovis, NM 88101-6371 | 2014-12-24 |
| 1073925475 | Paula Marre Gauck | Occupational Therapist | 1201 N Norris St, Clovis, NM 88101 | 2014-05-20 |
| 1548575194 | Rhiannon Laura Sena | Occupational Therapy Assistant | 1201 N Norris St, Clovis, NM 88101-6371 | 2010-08-06 |
| 1235456047 | Heath Murel Nippert | Occupational Therapist | 1201 N Norris St, Clovis, NM 88101-6371 | 2010-05-03 |
| 1538498993 | Marie A Gemma-walden | Physical Therapy Assistant | 1201 N Norris St, Clovis, NM 88101-6371 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1003909987 | Laurel Healthcare of Clovis LLC | Skilled Nursing Facility | 1201 North Norris Street, Clovis, NM 88101-6371 | 2006-10-02 |
| 1659482446 | Laurel Healthcare of Clovis LLC | Skilled Nursing Facility | 1400 West 21st Street, Clovis, NM 88101-4153 | 2006-08-31 |
| 1073569000 | Beverly Healthcare - California Inc | Skilled Nursing Facility | 111 Barstow Ave, Clovis, CA 93612-2225 | 2006-05-25 |
| 1003861089 | Willow Creek Healthcare Center, LLC | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2006-05-24 |
| 1528059011 | Retirement Ranches, Inc | Skilled Nursing Facility | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2005-11-02 |
| 1184240715 | Jm Healthcare Inc | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2020-06-19 |
| 1174188270 | Willow Creek Post Acute, LLC | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2019-05-03 |
| 1508318700 | Dycora Transitional Health - Clovis LLC | Skilled Nursing Facility | 111 Barstow Ave, Clovis, CA 93612-2225 | 2016-11-04 |
| 1720270887 | St. Anthony Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 1400 W 21st St, Clovis, NM 88101-4153 | 2007-08-13 |
| Find all providers in CLOVIS | ||||
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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.