FIVE STAR RIO LAS PALMAS LLC (NPI# 1376585604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376585604 |
| Entity Type | Organization |
| Organization Name | FIVE STAR RIO LAS PALMAS LLC |
| Other Organization Name | THE COURTYARD AT RIO LAS PALMAS |
| Practice Address |
877 E March Ln Stockton CA 95207-5800 |
| Mailing Address |
400 Centre St Newton MA 02458-2094 |
| Practice Telephone | 2099574711 |
| Practice Fax Number | 2099571407 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968385 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968214 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR RIO LAS PALMAS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 397004515 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Courtyard at Rio Las Palmas | Doing Business As Name - Organization |
| Street Address |
877 E MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089429 | Snh Cal Tenant LLC | Assisted Living Facility | 877 E March Ln, Stockton, CA 95207-5800 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489966 | Hollywood Rcfe, LLC | Assisted Living Facility | 2306 Hollywood Dr, Stockton, CA 95210-1626 | 2020-02-12 |
| 1942606108 | Brandon Lee Rose | Assisted Living Facility | 9207 Mammath Peak Cir, Stockton, CA 95212-3212 | 2014-11-14 |
| 1316354459 | Good Samaritan Carechoice & Compliance Group LLC | Assisted Living Facility | 5315 Barbados Cir, Stockton, CA 95210-6608 | 2014-07-22 |
| 1477809259 | Mgsact, Inc. | Assisted Living Facility | 517 East Fulton Street, Stockton, CA 95204-2227 | 2012-07-30 |
| 1619114881 | Stockton Heritage Partners, LLC | Assisted Living Facility | 3530 Deer Park Dr, Stockton, CA 95219-2350 | 2009-01-09 |
| 1083899660 | Country Palms Care Home | Assisted Living Facility | 2905 Bristol Ave, Stockton, CA 95204-3935 | 2008-01-02 |
| 1376723973 | Icare Manor, Inc. | Assisted Living Facility | 1215 W Swain Rd, Stockton, CA 95207-4228 | 2007-11-12 |
| 1982803961 | Villa Marche | Assisted Living Facility | 1119 Rose Marie Ln, Stockton, CA 95207 | 2007-07-11 |
| 1023225372 | Tru Health Inc | Assisted Living Facility | 2324 Lever Blvd, Stockton, CA 95206-2900 | 2007-05-17 |
| 1639205925 | Covenant Care, Inc | Assisted Living Facility | 2435 Wagner Heights Rd, Stockton, CA 95209-1778 | 2007-02-23 |
| Find all providers in STOCKTON | ||||
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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.