LONG BEACH MEMORIAL MEDICAL CENTER (NPI# 1578510624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578510624 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEMORIAL MEDICAL CENTER |
| Other Organization Name | MEMORIAL HOME HEALTH CARE |
| Practice Address |
695 E 27th St Long Beach CA 90755 |
| Mailing Address |
2801 Atlantic Ave Long Beach CA 90806-1737 |
| Practice Telephone | 5629334663 |
| Practice Fax Number | 5629330995 |
| Mailing Telephone | 5629332000 |
| Mailing Fax Number | 5629331107 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CHRIS FINCH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7143773218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 980000516 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA07748F | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Home Health Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649470998 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Signal Hill, CA 90755 | 2007-07-24 |
| 1861612574 | Long Beach Memorial Medical Center | Clinic/Center | 1720 Termino Ave, Long Beach, CA 90804 | 2007-04-26 |
| 1942240007 | Long Beach Memorial Medical Center | Hospice Care, Community Based | 695 E 27th St, Long Beach, CA 90755 | 2006-06-07 |
| 1053351155 | Long Beach Memorial Medical Center | Skilled Nursing Facility | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-06-07 |
| Street Address |
695 E 27TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942240007 | Long Beach Memorial Medical Center | Hospice Care, Community Based | 695 E 27th St, Long Beach, CA 90755 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
| 1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| 1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
| 1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
| 1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
| 1073569554 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 | 2006-05-26 |
| 1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
| 1063954287 | Sarah Shimanek | Physical Therapist | 2599 E 28th St Ste 206, Long Beach, CA 90755 | 2016-11-07 |
| Find all providers in zip 90755 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165801 | Eight Figure Home Health | Home Health | 359 Obispo Ave Apt 16, Long Beach, CA 90814-6476 | 2020-08-18 |
| 1518517812 | Legal Depot Inc | Home Health | 958 Pacific Ave, Long Beach, CA 90813-4228 | 2019-09-18 |
| 1275188260 | Dayasa Ventures Corporation | Home Health | 2405 E 7th St, Long Beach, CA 90804-4638 | 2019-08-06 |
| 1942862529 | Jjj Home Care Inc | Home Health | 3450 E Spring St Ste 112, Long Beach, CA 90806-2461 | 2019-07-03 |
| 1295396752 | Rose Room Home Health Care,inc. | Home Health | 2777 Pacific Ave # K1, Long Beach, CA 90806-2625 | 2019-06-25 |
| 1205497765 | Ivory Home Health Care,inc. | Home Health | 2777 Pacific Ave # K2, Long Beach, CA 90806-2625 | 2019-06-25 |
| 1467948158 | Ak Homecare Inc | Home Health | 100 Oceangate Ste 1200, Long Beach, CA 90802-4324 | 2018-07-05 |
| 1669970596 | Rising Above & Beyond Home Care | Home Health | 701 Park Pl, Long Beach, NY 11561-2141 | 2018-01-25 |
| 1376916676 | Long Beach Speech Language Pathology | Home Health | 270 Shore Rd., Apt. 30, Long Beach, NY 11561-4263 | 2015-11-09 |
| 1154724037 | Bixby Knolls Home Health, LLC | Home Health | 3450 E Spring St, Suite 105, Long Beach, CA 90806-2440 | 2014-10-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90755 |
Please comment or provide details below to improve the information on LONG BEACH MEMORIAL MEDICAL CENTER.
| 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.