GROSSMONT HOSPITAL CORPORATION (NPI# 1467810952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467810952 |
Entity Type | Organization |
Organization Name | GROSSMONT HOSPITAL CORPORATION |
Other Organization Name | BONITAVIEW HOME |
Practice Address |
3850 Valley Vista Rd Bonita CA 91902-1206 |
Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
Practice Telephone | 6194346816 |
Mailing Telephone | 8584949400 |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |
Authorized Official Name | SCOTT EVANS (CEO) |
Authorized Official Telephone | 6197406000 |
Is Organization Subpart | Y |
Parent Organization Name | GROSSMONT HOSPITAL CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 550003289 | CA | Agencies |
Other Name | Type Code |
---|---|
BonitaView 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 |
1447409081 | Grossmont Hospital Corporation | Hospice, Inpatient | 5788 Lyden Way, San Diego, CA 92120-4544 | 2008-09-18 |
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 |
3850 VALLEY VISTA RD |
City | BONITA |
State | CA |
Zip Code | 91902-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437693306 | A Caring Touch Home Care LLC | Home Health | 4045 Bonita Rd, 207, Bonita, CA 91902 | 2016-12-13 |
1578882494 | Sandhya Hegde Dds, Inc | Dentist | 4424 Bonita Road, Bonita, CA 91902 | 2010-05-18 |
1861684680 | Jennifer E Sims Dds Inc | Dentist | 5080 Bonita Road, Suite N, Bonita, CA 91902 | 2007-08-15 |
1669528543 | Dora A. Sanchez | Marriage & Family Therapist | 4045 Bonita Rd Ste 108, Bonita, CA 91902 | 2007-01-25 |
1528126190 | Bonita Cardiovascular Med Grp Inc | Surgery | 3916 Palm Drive, Bonita, CA 91902 | 2006-12-05 |
1265447668 | Lilinda Cruz Enano | Dentist | 4144 Bonita Rd, Bonita, CA 91902 | 2006-07-31 |
1548505803 | Marisa Cristina Ludden | Dentist | 5050 Bonita Rd, Bonita, CA 91902 | 2012-11-27 |
1629255021 | Julie K Laffen | Acupuncturist | 4514 Bonita Rd, Bonita, CA 91902 | 2008-01-28 |
1366563967 | Kristi Lee | Pharmacist | 4348 Bonita Road, Bonita, CA 91902 | 2007-04-02 |
1306191622 | Karen V. Houston | Dental Hygienist | 3340 Bonita Mesa Rd, Bonita, CA 91902-1021 | 2012-07-24 |
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Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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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.