EDGEMOOR HOSPITAL (NPI# 1396004867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396004867 |
| Entity Type | Organization |
| Organization Name | EDGEMOOR HOSPITAL |
| Practice Address |
655 Park Center Dr Santee CA 92071-6957 |
| Practice Telephone | 6195965500 |
| Mailing Telephone | 6195965500 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | REBECCA BERKEY (HUMAN RESOURCES ASSISTANT) |
| Authorized Official Telephone | 6193382342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 263563 | CA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336345644 | Edgemoor Hospital | Licensed Vocational Nurse | 143 Village Run E, Encinitas, CA 92024-3043 | 2007-06-23 |
| 1235330879 | Edgemoor Hospital | Occupational Therapy Assistant | 9065 Edgemoor Dr, Santee, CA 92071-3037 | 2007-05-30 |
| Street Address |
655 PARK CENTER DR |
| City | SANTEE |
| State | CA |
| Zip Code | 92071-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748646 | Katherine Trintchouk | Internal Medicine | 655 Park Center Dr, Santee, CA 92071-6957 | 2005-05-31 |
| 1003423682 | Tenny Kussat | Dietitian, Registered | 655 Park Center Dr, Santee, CA 92071-3094 | 2020-09-28 |
| 1164045217 | Emmanuel Gonzales Tanay | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2020-05-23 |
| 1699397521 | Mini Joseph | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2020-05-14 |
| 1164044970 | Remy Rafols Munda | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2020-05-14 |
| 1912529918 | Wendy Yonghong Liu | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2020-05-12 |
| 1013548791 | Ma. Criselda Bayalan Ferrer | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2020-01-30 |
| 1003467192 | Paulina Giba | Dietitian, Registered | 655 Park Center Dr, Santee, CA 92071-6957 | 2019-09-20 |
| 1073162418 | Minerva Ballesteros | Dietitian, Registered | 655 Park Center Dr, Santee, CA 92071-6957 | 2019-09-09 |
| 1790252385 | Carla Abigail Rumbaoa Tayag | Registered Nurse | 655 Park Center Dr, Santee, CA 92071-6957 | 2018-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| 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 |
|---|---|---|---|---|
| 1003001199 | Edgemoor | Skilled Nursing Facility | 9065 Edgemoor Drive, Edgemoor Hospital, Santee, CA 92071-3037 | 2007-09-11 |
| 1467657064 | County of San Diego | Skilled Nursing Facility | 9065 Edegmoor Drive, Santee, CA 92071 | 2007-06-15 |
| 1184628554 | Ghc of Santee, LLC | Skilled Nursing Facility | 8778 Cuyamaca St, Santee, CA 92071-4255 | 2005-06-13 |
| 1205166782 | Edgmoor Hospital | Skilled Nursing Facility | 655 Park Center Dr, Santee, CA 92071-6957 | 2010-01-06 |
| 1790971117 | Edgemoor | Skilled Nursing Facility | 9065 Edgemoor Dr, Santee, CA 92071-3037 | 2007-09-19 |
| 1578758579 | Edgemoor Hospital/dpsnf | Skilled Nursing Facility | 655 Park Center Dr, Santee, CA 92071-6957 | 2007-09-12 |
| 1790980365 | County of San Diego | Skilled Nursing Facility | 9065 Edgemoor Dr, Santee, CA 92071-3037 | 2007-06-15 |
| 1962556290 | County of San Diego | Skilled Nursing Facility | 655 Park Center Dr, Santee, CA 92071-6957 | 2007-01-23 |
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| 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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| 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.