SANTA CRUZIDENCE OPCO, LLC


Address: 1115 Capitola Rd, Santa Cruz, CA 95062-2844
Phone: 8014479829

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Santa Cruz Post Acute Doing Business As Name - Organization

Office Location

Street Address 1115 CAPITOLA RD
City SANTA CRUZ
State CA
Zip Code 95062-2844

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SANTA CRUZ
Zip Code 95062

Improve Information

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Dataset Information

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.

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