GROSSMONT HOSPITAL CORPORATION (NPI# 1447409081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447409081 |
| Entity Type | Organization |
| Organization Name | GROSSMONT HOSPITAL CORPORATION |
| Other Organization Name | PARKVIEW HOME |
| Practice Address |
5788 Lyden Way San Diego CA 92120-4544 |
| Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
| Practice Telephone | 6192862503 |
| Mailing Telephone | 8584993025 |
| Mailing Fax Number | 8584993020 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | SCOTT EVANS (CEO) |
| Authorized Official Telephone | 6197404648 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROSSMONT HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 080000656 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ParkView Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801256789 | Grossmont Hospital Corporation | Pharmacy | 5555 Grossmont Center Dr # A217, La Mesa, CA 91942-3019 | 2016-03-04 |
| 1467810952 | Grossmont Hospital Corporation | Hospice Care, Community Based | 3850 Valley Vista Rd, Bonita, CA 91902-1206 | 2016-01-29 |
| 1134187941 | Grossmont Hospital Corporation | Hospice, Inpatient | 9472 Loren Dr, La Mesa, CA 91942-3907 | 2006-05-02 |
| 1457330300 | Grossmont Hospital Corporation | Durable Medical Equipment & Medical Supplies | 3558 Ruffin Rd Ste 100, San Diego, CA 92123-2596 | 2006-01-10 |
| 1932485307 | Grossmont Hospital Corporation | Pharmacy | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2011-10-28 |
| 1336338805 | Grossmont Hospital Corporation | General Acute Care Hospital | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-10-19 |
| 1427037308 | Grossmont Hospital Corporation | Hospice Care, Community Based | 8881 Fletcher Pkwy, Suite 336, La Mesa, CA 91942-3134 | 2006-01-10 |
| 1043293871 | Grossmont Hospital Corporation | Rehabilitation Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
| 1417930249 | Grossmont Hospital Corporation | Skilled Nursing Facility | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
| 1568445419 | Grossmont Hospital Corporation | Psychiatric Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GROSSMONT HOSPITAL CORPORATION | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Street Address |
5788 LYDEN WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386840973 | Sonata Healthcare, LLC | Hospice, Inpatient | 5333 Mission Center Rd, Suite 210, San Diego, CA 92108-1302 | 2007-06-21 |
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| 1154957835 | Armani Oganyan | Hospice, Inpatient | 10523 Burbank Blvd Ste 104, North Hollywood, CA 91601-2235 | 2020-03-13 |
| 1235789462 | Sierra Care At The Lake,llc | Hospice, Inpatient | 33425 Globe Dr, Springville, CA 93265 | 2019-09-19 |
| 1851893291 | Heritage Crossing Fresno Inc. | Hospice, Inpatient | 2792 E Alluvial Ave, Clovis, CA 93611-9104 | 2018-03-01 |
| 1447761820 | Trusted Hospice Care | Hospice, Inpatient | 17915 Ventura Blvd Ste 233, Encino, CA 91316-4815 | 2017-10-12 |
| 1548631906 | United Hospice, Inc. | Hospice, Inpatient | 14638 Rodeo Dr, Victorville, CA 92395-4133 | 2015-10-12 |
| 1396131041 | Hdmc Holdings, LLC | Hospice, Inpatient | 6601 White Feather Rd Ste A-5, Joshua Tree, CA 92252-6607 | 2015-04-09 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| 1053714972 | Active Angel Caregiver Agency | Hospice, Inpatient | 13605 Heather Way, Hawthorne, CA 90250-6474 | 2014-10-06 |
| Find all providers with the same taxonomy | ||||
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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.