TULE RIVER POST ACUTE LLC (NPI# 1275197808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275197808 |
| Entity Type | Organization |
| Organization Name | TULE RIVER POST ACUTE LLC |
| Practice Address |
1100 W Morton Ave Porterville CA 93257-1947 |
| Mailing Address |
107 W Lemon Ave Monrovia CA 91016-2809 |
| Practice Telephone | 5597821509 |
| Mailing Telephone | 6266587344 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | CRYSTAL SOLORZANO (MANAGER) |
| Authorized Official Telephone | 6266587344 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSEMBLY HEALTH GROUP LLC |
| 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 | MEDICARE | 555658 | 01 |
| CA | LTC55658G | 05 | |
| CA | 1215001763 | 05 |
| Street Address |
1100 W MORTON AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215001763 | Porterville Convalescent, Inc. | Skilled Nursing Facility | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2006-11-17 |
| 1316467665 | Dycora Transitional Health & Living -- Porterville LLC | Skilled Nursing Facility | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2017-06-27 |
| 1013240589 | Mark Mendes | Occupational Therapist | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2009-09-15 |
| 1417194945 | Wendy E. Mailhiot | Physical Therapist | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2009-01-21 |
| 1730338294 | Eric Robert Stadtherr | Physical Therapist | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| 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 |
|---|---|---|---|---|
| 1841311958 | Villa Manor Care Center, Inc. | Skilled Nursing Facility | 350 N Villa St, Porterville, CA 93257-3211 | 2007-04-03 |
| 1689735151 | Smithcare, Incorporated | Skilled Nursing Facility | 661 W Poplar Ave, Porterville, CA 93257-5926 | 2006-12-12 |
| 1215001763 | Porterville Convalescent, Inc. | Skilled Nursing Facility | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2006-11-17 |
| 1376524843 | Hacienda Care Center, Inc. | Skilled Nursing Facility | 301 W Putnam Ave, Porterville, CA 93257-3429 | 2005-11-10 |
| 1316467665 | Dycora Transitional Health & Living -- Porterville LLC | Skilled Nursing Facility | 1100 W Morton Ave, Porterville, CA 93257-1947 | 2017-06-27 |
| 1235546300 | Valley Careidence Opco, LLC | Skilled Nursing Facility | 661 W Poplar Ave, Porterville, CA 93257-5926 | 2014-07-21 |
| 1174730105 | Sun Villaidence Opco, LLC | Skilled Nursing Facility | 350 N Villa St, Porterville, CA 93257-3211 | 2007-05-17 |
| 1508089970 | Sierra View Local Health Care District | Skilled Nursing Facility | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2007-04-11 |
| 1235352618 | Sierra View Local Health Care District | Skilled Nursing Facility | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2007-04-11 |
| 1154424646 | Sierra View Local Health Care District | Skilled Nursing Facility | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-09-07 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on TULE RIVER POST ACUTE LLC.
| 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.