MONTEBELLO CARE CENTER, LLC (NPI# 1447225438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447225438 |
| Entity Type | Organization |
| Organization Name | MONTEBELLO CARE CENTER, LLC |
| Other Organization Name | MONTEBELLO CARE CENTER |
| Practice Address |
1035 W Beverly Blvd Montebello CA 90640 |
| Practice Telephone | 3237241315 |
| Practice Fax Number | 3237241053 |
| Mailing Telephone | 3237241315 |
| Mailing Fax Number | 3237241053 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 940000119 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05153I | 05 |
| Other Name | Type Code |
|---|---|
| Montebello Care Center | Doing Business As Name - Organization |
| Street Address |
1035 W BEVERLY BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110431 | Roberto Barajas | Physical Therapy Assistant | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2019-11-28 |
| 1407245640 | Alexandre Andrade De Santanna | Occupational Therapy Assistant | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2015-01-12 |
| 1154719607 | John Warren Abendano | Physical Therapy Assistant | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2015-01-07 |
| 1245628908 | Charlene Delos Reyes Traballo | Occupational Therapist | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2015-01-05 |
| 1639567399 | Gail Abrigo | Physical Therapist | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2015-01-05 |
| 1477941219 | Prashant Nakshatri | Speech-Language Pathologist | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2015-01-01 |
| 1861880841 | Rochelle De Joya | Physical Therapist | 1035 W Beverly Blvd, Montebello, CA 90640-4138 | 2014-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| 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 |
|---|---|---|---|---|
| 1902896301 | Rio Hondo Subacute & Nursing Center | Skilled Nursing Facility | 273 E. Beverly Blvd., Montebello, CA 90640-3775 | 2005-10-26 |
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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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| Find all providers with the same taxonomy | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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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.