CITRUS NURSING CENTER (NPI# 1346346285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346346285 |
| Entity Type | Organization |
| Organization Name | CITRUS NURSING CENTER |
| Other Organization Name | CITRUS NURSING CENTER |
| Practice Address |
9440 Citrus Ave Fontana CA 92335 |
| Mailing Address |
3050 Saturn St Ste 201 Brea CA 92821-6278 |
| Practice Telephone | 9098233481 |
| Practice Fax Number | 9098233829 |
| Mailing Telephone | 7145773880 |
| Mailing Fax Number | 7145773895 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | WILLIAM C PRESNELL (CFO) |
| Authorized Official Telephone | 7145773880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 240000127 | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05872 | 05 |
| Other Name | Type Code |
|---|---|
| Citrus Nursing Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITRUS NURSING CENTER | 9440 Citrus Ave, Fontana, CA 92335-5512 |
| Street Address |
9440 CITRUS AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003467929 | Cristian Armenta Ibarra | Occupational Therapy Assistant | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2019-09-23 |
| 1972083608 | Braddon Charles Benson | Occupational Therapist | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2018-08-21 |
| 1538648050 | Ariel Samonte | Occupational Therapist | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2018-08-07 |
| 1831678275 | Mary Malee Yap | Physical Therapist | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2018-08-07 |
| 1093174260 | Anousheh Ashouri Inc | Internal Medicine | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2016-02-16 |
| 1942672134 | Samantha Ozbourn | Speech-Language Pathologist | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2015-10-27 |
| 1558751966 | Carlos Sabado Jr. | Physical Therapy Assistant | 9440 Citrus Ave, Fontana, CA 92335-5512 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1639629074 | Chateau Belle | Skilled Nursing Facility | 15016 Arrow Blvd, Fontana, CA 92335-3153 | 2016-10-10 |
| 1164880407 | South Pacific Rehabilitation Services | Skilled Nursing Facility | 15906 Parkhouse Dr, Fontana, CA 92336-6501 | 2016-02-02 |
| 1356719330 | Sillano Home Care LLC | Skilled Nursing Facility | 6973 Springtime Ave, Fontana, CA 92336-1474 | 2015-09-09 |
| 1285874560 | Laurel Wellness and Nursing Center LLC | Skilled Nursing Facility | 7509 Laurel Ave, Fontana, CA 92336-2315 | 2009-02-26 |
| 1114096120 | Fontana Healthcare, LLC | Skilled Nursing Facility | 17933 San Bernardino Ave, Fontana, CA 92335-6151 | 2006-11-06 |
| 1376649293 | Sun Mar Nursing Centers | Skilled Nursing Facility | 7509 N Laurel Avenue, Fontana, CA 92336 | 2006-09-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.