SIERRA BLANCA REHABILITATION LLC (NPI# 1760701221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760701221 |
| Entity Type | Organization |
| Organization Name | SIERRA BLANCA REHABILITATION LLC |
| Practice Address |
3401 N Lockwood Dr Lakeside AZ 85929 |
| Practice Telephone | 9283682060 |
| Practice Fax Number | 9283682061 |
| Mailing Telephone | 9283682060 |
| Mailing Fax Number | 9283682061 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MR. HARVEY F PELOVSKY (OWNER) |
| Authorized Official Telephone | 9289780520 |
| Authorized Official Credential | NURSING HOME ADM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | AZ | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568882991 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2014-04-24 |
| Street Address |
3401 N LOCKWOOD DR |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1104178326 | Ronald T. Watanabe | Chiropractor | 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 | 2012-10-11 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1710117031 | Bornstein Medical Pllc | Family Medicine | 5448 S White Mountain Rd, Suite 270, Lakeside, AZ 85929 | 2009-07-21 |
| Find all providers in zip 85929 | ||||
| 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 |
|---|---|---|---|---|
| 1760605000 | North Shore Retirement Community | Skilled Nursing Facility | 9400 E Northshore Blvd, Lakeside, OH 43440-1337 | 2007-04-11 |
| 1790789170 | Ghc of Lakeside, LLC | Skilled Nursing Facility | 11962 Woodside Ave, Lakeside, CA 92040-2914 | 2005-06-13 |
| 1447657994 | Haven of Lakeside LLC | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2014-11-28 |
| 1568882991 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2014-04-24 |
| 1073894598 | Lwn Medical Pllc | Skilled Nursing Facility | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630175 | P. Deanda Medical Pllc | Skilled Nursing Facility | 1950 W Paseo Monserrat, Tucson, AZ 85704-1329 | 2020-05-12 |
| 1477187995 | Welbrook Yuma Opco LLC | Skilled Nursing Facility | 2271 S Ridgeview Dr, Yuma, AZ 85364-8872 | 2020-02-24 |
| 1487215067 | Ludden Healthcare, Inc. | Skilled Nursing Facility | 14660 W Parkwood Dr, Surprise, AZ 85374-4590 | 2019-06-25 |
| 1396208955 | Manuella D Khoshaba | Skilled Nursing Facility | 13821 W Crocus Dr, Surprise, AZ 85379-8340 | 2019-04-10 |
| 1518489244 | Moc Surprise, LLC | Skilled Nursing Facility | 14660 West Parkwood Drive, Surprise, AZ 85374 | 2017-07-14 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1891234126 | Center At Tucson, LLC | Skilled Nursing Facility | 5020 East Glen Street, Tucson, AZ 85712 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
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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.