AVALON CARE CENTER - NEWMAN, LLC (NPI# 1750375846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750375846 |
| Entity Type | Organization |
| Organization Name | AVALON CARE CENTER - NEWMAN, LLC |
| Other Organization Name | SAN LUIS CONVALESCENT HOSPITAL |
| Practice Address |
709 N St Newman CA 95360-1162 |
| Mailing Address |
206 N 2100 W Suite 200 Slc UT 84116-4740 |
| Practice Telephone | 2098622862 |
| Practice Fax Number | 2098624631 |
| Mailing Telephone | 8013250153 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2015-06-12 |
| Authorized Official Name | FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS) |
| Authorized Official Telephone | 8013250153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000128 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR05839H | 05 |
| Other Name | Type Code |
|---|---|
| San Luis Convalescent Hospital | Doing Business As Name - Organization |
| Street Address |
709 N ST |
| City | NEWMAN |
| State | CA |
| Zip Code | 95360-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386718112 | Robert Allen Digiorno | Dentist | 1925 N St, Suitte E, Newman, CA 95360 | 2006-11-20 |
| 1679665970 | Westside Community Healthcare District | Ambulance | 151 South Highway 33, Newman, CA 95360 | 2006-09-28 |
| 1871762468 | Connie Marie Richmond | Licensed Vocational Nurse | 637 Merced St, Newman, CA 95360 | 2008-02-27 |
| 1780776716 | Gloria D Bennett | Nurse Practitioner | 1349 Main St, Newman, CA 95360 | 2006-09-28 |
| 1689658668 | Golden Valley Health Center | Clinic/Center | 637 Merced St, Newman, CA 95360-1070 | 2005-12-02 |
| 1154956068 | Courtney N Fontana | Nurse Practitioner | 637 Merced St, Newman, CA 95360-1070 | 2020-03-11 |
| 1851706378 | Gail Brockett | Dental Hygienist | 637 Merced St, Newman, CA 95360-1070 | 2014-06-23 |
| 1285946228 | Hanika Gupta | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2010-07-07 |
| 1578795464 | Divya Gangwar | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2009-08-11 |
| 1578758736 | Cinthya Liliana Hernandez | Counselor | 637 Merced St, Newman, CA 95360-1070 | 2007-09-11 |
| Find all providers in zip 95360 | ||||
| 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 |
|---|---|---|---|---|
| 1336393347 | Petersen Health Operations, LLC | Skilled Nursing Facility | 418 South Memorial Drive, Newman, IL 61942 | 2008-11-05 |
| 1578646691 | Petersen Health & Wellness, LLC | Skilled Nursing Facility | 418 S Memorial Park Rd, Newman, IL 61942-8062 | 2006-10-23 |
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| 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.