CENTRAL VALLEY SPECIALTY HOSPITAL INC (NPI# 1578989703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578989703 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY SPECIALTY HOSPITAL INC |
| Practice Address |
730 17th St Modesto CA 95354-1209 |
| Practice Telephone | 2092487710 |
| Practice Fax Number | 2098460345 |
| Mailing Telephone | 2092487710 |
| Mailing Fax Number | 2098460345 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MRS. TAMMY JEAN THOMPSON (CFO/VP FINANCE) |
| Authorized Official Telephone | 2092487851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520998 | Central Valley Specialty Hospital Inc | Long Term Care Hospital | 730 17th St, Modesto, CA 95354-1209 | 2018-12-21 |
| 1356693451 | Central Valley Specialty Hospital Inc | Skilled Nursing Facility | 730 17th St, Modesto, CA 95354-1209 | 2012-10-12 |
| Street Address |
730 17TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811726 | Danny Vera | Pharmacist | 730 17th St, Modesto, CA 95354-1209 | 2005-12-07 |
| 1609490291 | David Borofka | Respiratory Therapist, Certified | 730 17th St, Modesto, CA 95354-1209 | 2020-05-30 |
| 1982236303 | Calvin P Truong | Pharmacist | 730 17th St, Modesto, CA 95354-1209 | 2020-02-05 |
| 1427520998 | Central Valley Specialty Hospital Inc | Long Term Care Hospital | 730 17th St, Modesto, CA 95354-1209 | 2018-12-21 |
| 1508341108 | Pamela Carter | Physical Therapist | 730 17th St, Modesto, CA 95354-1209 | 2018-09-28 |
| 1588040299 | Dave Cortes Dy | Nurse Practitioner | 730 17th St, Modesto, CA 95354-1209 | 2015-08-04 |
| 1518343649 | Karenjit Johal | Dietitian, Registered | 730 17th St, Modesto, CA 95354-1209 | 2015-07-30 |
| 1154766921 | Om Medical Inc | Internal Medicine | 730 17th St, Modesto, CA 95354-1209 | 2013-05-07 |
| 1356693451 | Central Valley Specialty Hospital Inc | Skilled Nursing Facility | 730 17th St, Modesto, CA 95354-1209 | 2012-10-12 |
| 1134470156 | Central Valley Specialty Hospital, Inc. | General Acute Care Hospital | 730 17th St, Modesto, CA 95354-1209 | 2012-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520998 | Central Valley Specialty Hospital Inc | Long Term Care Hospital | 730 17th St, Modesto, CA 95354-1209 | 2018-12-21 |
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| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
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| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
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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.