DRIFTWOOD HEALTHCARE & WELLNESS CENTER, LLC (NPI# 1790001212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790001212 |
| Entity Type | Organization |
| Organization Name | DRIFTWOOD HEALTHCARE & WELLNESS CENTER, LLC |
| Other Organization Name | DRIFTWOOD HEALTHCARE CENTER |
| Practice Address |
4109 Emerald St Torrance CA 90503-3105 |
| Practice Telephone | 3103714628 |
| Practice Fax Number | 3102141882 |
| Mailing Telephone | 3103714628 |
| Mailing Fax Number | 3102141882 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | JONATHAN WEISS (CEO) |
| Authorized Official Telephone | 32238555492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 910000045 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT06034H | 05 |
| Other Name | Type Code |
|---|---|
| Driftwood Healthcare Center | Doing Business As Name - Organization |
| Street Address |
4109 EMERALD ST |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679546915 | Grancare LLC | Skilled Nursing Facility | 4109 Emerald St, Torrance, CA 90503-3105 | 2006-02-08 |
| 1811459381 | Justyn De Leon | Speech-Language Pathologist | 4109 Emerald St, Torrance, CA 90503-3105 | 2019-04-03 |
| 1902361645 | Alyssa Hirata | Occupational Therapist | 4109 Emerald St, Torrance, CA 90503-3105 | 2019-02-06 |
| 1184031999 | Abigail Campbell | Speech-Language Pathologist | 4109 Emerald St, Torrance, CA 90503-3105 | 2014-07-14 |
| 1376989897 | Marie Roman | Psychologist | 4109 Emerald St, Torrance, CA 90503-3105 | 2013-05-13 |
| 1326230954 | Kathy Gohar | Surgery | 4109 Emerald St, Torrance, CA 90503-3105 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| 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 |
|---|---|---|---|---|
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1841556206 | Healthcare Partners Medical Group, P.C. | Skilled Nursing Facility | 19191 S. Vermont Avenue Suite 300, Torrance, CA 90502 | 2012-04-10 |
| 1679798086 | Sunnyside Nursing Center | Skilled Nursing Facility | 22617 S. Vermont Ave, Torrance, CA 90502 | 2007-04-13 |
| 1720153620 | The Earlwood, LLC | Skilled Nursing Facility | 20820 Earl St, Torrance, CA 90503-4307 | 2006-11-24 |
| 1013002823 | Torrance Care Center East, Inc. | Skilled Nursing Facility | 4315 Torrance Blvd, Torrance, CA 90503-4401 | 2006-10-04 |
| 1710072558 | Torrance Care Center West, Inc. | Skilled Nursing Facility | 4333 Torrance Blvd, Torrance, CA 90503-4401 | 2006-10-04 |
| 1679546915 | Grancare LLC | Skilled Nursing Facility | 4109 Emerald St, Torrance, CA 90503-3105 | 2006-02-08 |
| 1992781561 | Royalwood Care Center, LLC | Skilled Nursing Facility | 22520 Maple Ave, Torrance, CA 90505-2705 | 2005-12-15 |
| 1215912910 | Del Amo Gardens Convalescent | Skilled Nursing Facility | 22419 Kent Ave, Torrance, CA 90505-2303 | 2005-12-14 |
| Find all providers in TORRANCE | ||||
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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.