CC-PALO ALTO, INC. (NPI# 1295774172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295774172 |
| Entity Type | Organization |
| Organization Name | CC-PALO ALTO, INC. |
| Other Organization Name | VI AT PALO ALTO |
| Practice Address |
600 Sand Hill Rd Palo Alto CA 94304-2002 |
| Mailing Address |
71 S Wacker Dr Suite 900 Chicago IL 60606-4637 |
| Practice Telephone | 6508535085 |
| Practice Fax Number | 6508535112 |
| Mailing Telephone | 3128038520 |
| Mailing Fax Number | 3128965177 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | TARA COPE (SVP & GENERAL COUNSEL) |
| Authorized Official Telephone | 3128038555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 550000146 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Vi at Palo Alto | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447710785 | Cc-palo Alto, Inc. | Assisted Living Facility | 620 Sand Hill Rd, Palo Alto, CA 94304-2002 | 2019-03-22 |
| Street Address |
600 SAND HILL RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265913131 | Anan Wu | Physical Therapist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-08-28 |
| 1295216265 | Stewart Dakota Durst | Occupational Therapist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-08-27 |
| 1295216489 | Ursula Liebelt | Occupational Therapist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-08-24 |
| 1396226031 | Pamela Zucker | Speech-Language Pathologist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-08-21 |
| 1104317742 | Sneha Sawant | Physical Therapist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-05-18 |
| 1750899159 | Mckenna Oelkers | Speech-Language Pathologist | 600 Sand Hill Rd, Palo Alto, CA 94304-2630 | 2018-01-19 |
| 1023393303 | Vivian Au | Physical Therapy Assistant | 600 Sand Hill Rd, Palo Alto, CA 94304 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| 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 |
|---|---|---|---|---|
| 1548427479 | Channing House | Skilled Nursing Facility | 850 Webster Street, Palo Alto, CA 94301 | 2008-05-19 |
| 1780719278 | Covenant Care California, LLC | Skilled Nursing Facility | 911 Bryant Street, Palo Alto, CA 94301-2711 | 2007-02-23 |
| 1881632347 | Lytton Gardens, Inc. | Skilled Nursing Facility | 437 Webster Street, Palo Alto, CA 94301-1242 | 2006-06-04 |
| 1740271584 | Covenant Care Inc. | Skilled Nursing Facility | 911 Bryant St, Palo Alto, CA 94301-2711 | 2005-11-01 |
| 1093105447 | Covia Communities | Skilled Nursing Facility | 437 Webster St, Palo Alto, CA 94301-1242 | 2015-01-23 |
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| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
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| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
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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.