HERITAGE CARE CENTER, INC. (NPI# 1619976925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619976925 |
| Entity Type | Organization |
| Organization Name | HERITAGE CARE CENTER, INC. |
| Other Organization Name | HERITAGE CONVALESCENT HOPSITAL, INC. |
| Practice Address |
5255 Hemlock St Sacramento CA 95841-3017 |
| Mailing Address |
4020 Sierra College Blvd Ste 190 Rocklin CA 95677-3906 |
| Practice Telephone | 9163314590 |
| Practice Fax Number | 9163313048 |
| Mailing Telephone | 9166246230 |
| Mailing Fax Number | 9166246249 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | LARRY E BEAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9166246230 |
| Is Organization Subpart | Y |
| Parent Organization Name | HORIZON WEST HEALTHCARE OF CALIFORNIA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000122 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06073G | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Convalescent Hopsital, Inc. | Former Legal Business Name - Organization |
| Street Address |
5255 HEMLOCK ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380652 | Pace Extended Care Inc. | Family Medicine | 5255 Hemlock St, Sacramento, CA 95841-3017 | 2013-04-16 |
| 1407154636 | Oleander Holdings, LLC | Skilled Nursing Facility | 5255 Hemlock St, Sacramento, CA 95841-3017 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| 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 |
|---|---|---|---|---|
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588780589 | Cottage Park Place L.p. | Skilled Nursing Facility | 2200 Gramercy Dr, Sacramento, CA 95825-0308 | 2007-03-21 |
| 1134261142 | Covenant Care California, LLC | Skilled Nursing Facility | 6821 24th Street, Sacramento, CA 95822-4037 | 2007-02-13 |
| 1689755456 | S.h.c.c., Inc. | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2006-10-18 |
| 1629158597 | C.o.n.r., Inc. | Skilled Nursing Facility | 4635 College Oak Dr, Sacramento, CA 95841-4516 | 2006-10-16 |
| 1952491862 | W.h.c., Inc | Skilled Nursing Facility | 2240 Northrop Ave, Sacramento, CA 95825-7408 | 2006-10-13 |
| 1508959214 | Jdl Healthcare Inc | Skilled Nursing Facility | 2257 Fair Oaks Blvd, Sacramento, CA 95825-5501 | 2006-10-02 |
| 1760432447 | Sutter Health Sacramento Sierra Region | Skilled Nursing Facility | 2600 L St, Sacramento, CA 95816-5612 | 2006-05-11 |
| 1538131032 | Sacramento Operating Company Lp | Skilled Nursing Facility | 7400 24th St, Sacramento, CA 95822-5350 | 2006-02-07 |
| 1396720892 | V S N F Inc | Skilled Nursing Facility | 2120 Stockton Blvd, Sacramento, CA 95817-1337 | 2005-12-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
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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.