SANTA CRUZIDENCE OPCO, LLC (NPI# 1306369871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306369871 |
Entity Type | Organization |
Organization Name | SANTA CRUZIDENCE OPCO, LLC |
Other Organization Name | SANTA CRUZ POST ACUTE |
Practice Address |
1115 Capitola Rd Santa Cruz CA 95062-2844 |
Mailing Address |
140 N Union Ave Ste 320 Farmington UT 84025-2956 |
Practice Telephone | 8014479829 |
Practice Fax Number | 8014479797 |
Mailing Telephone | 8014479829 |
Enumeration Date | 2017-07-17 |
Last Update Date | 2019-08-07 |
Authorized Official Name | MARK HANCOCK (VICE PRESIDENT/CFO) |
Authorized Official Telephone | 8014479829 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Santa Cruz Post Acute | Doing Business As Name - Organization |
Street Address |
1115 CAPITOLA RD |
City | SANTA CRUZ |
State | CA |
Zip Code | 95062-2844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750396248 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2006-07-31 |
1598380750 | Aurora Lee Belk | Speech-Language Pathologist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2020-06-13 |
1912520644 | Sandra Lee Finch | Occupational Therapy Assistant | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2020-05-28 |
1669954327 | Neha Meena | Physical Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2018-08-29 |
1841771813 | Julie Skilton | Speech-Language Pathologist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2018-08-27 |
1073766580 | Lori Janney | Physical Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-10-28 |
1689827107 | Wayne Vanderlan | Physical Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-10-28 |
1962662973 | Julianna Harris | Occupational Therapy Assistant | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-06-12 |
1376703389 | Carrie Edmonds | Occupational Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-06-12 |
1235399221 | Peter David Sullivan | Occupational Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
Find all providers in zip 95062 |
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 |
---|---|---|---|---|
1629256953 | Santa Cruz Skilled Nursing Center, Inc | Skilled Nursing Facility | 2990 Soquel Ave, Santa Cruz, CA 95062-1412 | 2008-02-08 |
1164590832 | Cresthaven Nursing Home | Skilled Nursing Facility | 740 17th Ave, Santa Cruz, CA 95062-4122 | 2006-12-01 |
1750396248 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2006-07-31 |
1922422450 | Santa Cruz Skilled Nursing Center | Skilled Nursing Facility | 2990 Soquel Ave, Santa Cruz, CA 95062-1412 | 2014-02-04 |
1457649436 | Driftwood Santa Cruz Operating Company, Lp | Skilled Nursing Facility | 675 24th Ave, Santa Cruz, CA 95062-4205 | 2011-07-12 |
1427181007 | Dignity Health | Skilled Nursing Facility | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
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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City | SANTA CRUZ |
Zip Code | 95062 |
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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.