ARROWHEAD HOME CONVALESCENT HOSPITAL (NPI# 1447248075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447248075 |
| Entity Type | Organization |
| Organization Name | ARROWHEAD HOME CONVALESCENT HOSPITAL |
| Practice Address |
4343 N Sierra Way San Bernardino CA 92407-3822 |
| Practice Telephone | 9098874731 |
| Practice Fax Number | 9098868399 |
| Mailing Telephone | 9098874731 |
| Mailing Fax Number | 9098868399 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DON POPOVICH (ADMINISTRATOR) |
| Authorized Official Telephone | 9098864731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT11304G | 05 |
| Street Address |
4343 N SIERRA WAY |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659768406 | Arrowhead Healthcare Center LLC | Skilled Nursing Facility | 4343 N Sierra Way, San Bernardino, CA 92407-3822 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| 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 |
|---|---|---|---|---|
| 1417904566 | Sunbridge Shandin Hills Rehabilition Center | Skilled Nursing Facility | 4164 N 4th Ave, San Bernardino, CA 92407-2908 | 2006-05-27 |
| 1851364855 | United Medical Management, Inc. | Skilled Nursing Facility | 1680 N Waterman Ave, San Bernardino, CA 92404-5113 | 2006-02-09 |
| 1881681088 | San Bernardino Care Company | Skilled Nursing Facility | 467 E Gilbert St, San Bernardino, CA 92404-5318 | 2005-10-03 |
| 1396739199 | San Bernardino Convalescent Operations Inc. | Skilled Nursing Facility | 1335 N Waterman Ave, San Bernardino, CA 92404-5312 | 2005-09-07 |
| 1477547750 | Mountainside Operating Company, LLC | Skilled Nursing Facility | 1311 E Date St, San Bernardino, CA 92404-4233 | 2005-09-01 |
| 1265433957 | Waterman Convalescent Hospital, LLC | Skilled Nursing Facility | 1850 N Waterman Ave, San Bernardino, CA 92404-4831 | 2005-08-03 |
| 1659768406 | Arrowhead Healthcare Center LLC | Skilled Nursing Facility | 4343 N Sierra Way, San Bernardino, CA 92407-3822 | 2015-04-20 |
| 1750789046 | Watermanidence Opco, LLC | Skilled Nursing Facility | 1850 N Waterman Ave, San Bernardino, CA 92404-4831 | 2014-12-18 |
| 1134527500 | Del Rosa Villaidence Opco, LLC | Skilled Nursing Facility | 2018 Del Rosa Ave, San Bernardino, CA 92404-5642 | 2014-12-16 |
| 1427457233 | Hacienda Heights Healthcare & Wellness Centre, Lp | Skilled Nursing Facility | 1311 E Date St, San Bernardino, CA 92404-4233 | 2014-08-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
Please comment or provide details below to improve the information on ARROWHEAD HOME CONVALESCENT HOSPITAL.
| 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.