IMPERIAL MANOR SKILLED NURSING INC (NPI# 1437668720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437668720 |
| Entity Type | Organization |
| Organization Name | IMPERIAL MANOR SKILLED NURSING INC |
| Practice Address |
100 E 2nd St Imperial CA 92251-1813 |
| Mailing Address |
1590 S Imperial Ave El Centro CA 92243-4241 |
| Practice Telephone | 7603552858 |
| Practice Fax Number | 7603551221 |
| Mailing Telephone | 17603522551 |
| Mailing Fax Number | 7603523022 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | VENUS NGUYEN (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 7603552858 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 090000061 | CA | Nursing & Custodial Care Facilities |
| Street Address |
100 E 2ND ST |
| City | IMPERIAL |
| State | CA |
| Zip Code | 92251-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656317 | Fronteras Interpreting | Interpreter | 284 W La Paz Drive, Imperial, CA 92251 | 2017-05-18 |
| 1639613128 | Surgery Centers of Imperial Valley Inc | Clinic/Center | 2402 Business Parkway, Suite 101, Imperial, CA 92251 | 2016-12-19 |
| 1508010315 | Bethzyra Guevara | Rehabilitation Counselor | 624 Ruby Street, Imperial, CA 92251 | 2008-11-06 |
| 1396929345 | Byron Justus | Dentist | 2387 Us Highwy 86, Imperial, CA 92251 | 2007-12-27 |
| 1154503894 | Gary G Cummings | Dentist | 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251 | 2007-12-05 |
| 1396925160 | Dave Sat Khatri | Internal Medicine | 2302 Brown Road, Centinela State Prison, Imperial, CA 92251 | 2007-11-09 |
| 1144420928 | Freddy Carreno | Nurse Practitioner | 2302 Brown Rd, Imperial, CA 92251 | 2007-07-20 |
| 1336289818 | Herbert Ray Bumgart Jr. | Rehabilitation Counselor | 1295 State St Suite 106, El Centro, CA 92251 | 2007-02-07 |
| 1578668976 | Volunteers of America Southwest California | Skilled Nursing Facility | 100 E. Second Street, Imperial, CA 92251 | 2006-09-13 |
| 1598780736 | Bernardo Ng | Psychiatry & Neurology | 2417 Marshall Ave, Ste 1, Imperial, CA 92251 | 2006-07-12 |
| Find all providers in zip 92251 | ||||
| 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 |
|---|---|---|---|---|
| 1083946008 | William Morales | Skilled Nursing Facility | 340 E 12th St, Imperial, NE 69033-3108 | 2010-02-01 |
| 1578668976 | Volunteers of America Southwest California | Skilled Nursing Facility | 100 E. Second Street, Imperial, CA 92251 | 2006-09-13 |
| 1215924428 | City of Imperial | Skilled Nursing Facility | 933 Grant St, Imperial, NE 69033-3140 | 2005-10-03 |
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| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
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| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
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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.