THOMAS E MULLEN (NPI# 1457554339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457554339 |
| Entity Type | Organization |
| Organization Name | THOMAS E MULLEN |
| Other Organization Name | ALDERSON CONVALESCENT HOSPITAL |
| Practice Address |
124 Walnut St Woodland CA 95695-3137 |
| Practice Telephone | 5306629161 |
| Practice Fax Number | 5306629208 |
| Mailing Telephone | 5306629161 |
| Mailing Fax Number | 5306629208 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | TOM MULLEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 5306629161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100000155 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Alderson Convalescent Hospital | Doing Business As Name - Organization |
| Street Address |
124 WALNUT ST |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071954 | United Health Systems Inc. | Skilled Nursing Facility | 124 Walnut St, Woodland, CA 95695-3137 | 2005-08-23 |
| 1609062397 | Aaron Miguel | Specialist | 124 Walnut St, Woodland, CA 95695-3137 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| 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 |
|---|---|---|---|---|
| 1063483337 | Woodland Enterprises Inc | Skilled Nursing Facility | 310 4th Street, Woodland, WA 98674-8488 | 2006-01-27 |
| 1699750901 | Cottonwood H C Inc | Skilled Nursing Facility | 625 Cottonwood St, Woodland, CA 95695-3614 | 2005-12-08 |
| 1841275344 | Woodland Skilled Nursing Facility, Inc. | Skilled Nursing Facility | 678 3rd St, Woodland, CA 95695-4034 | 2005-12-07 |
| 1720071954 | United Health Systems Inc. | Skilled Nursing Facility | 124 Walnut St, Woodland, CA 95695-3137 | 2005-08-23 |
| 1891914784 | St John Retirement Village | Skilled Nursing Facility | 135 Woodland Ave, Woodland, CA 95695-2701 | 2007-04-25 |
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| 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.