SP FACILITY INC (NPI# 1811036957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811036957 |
| Entity Type | Organization |
| Organization Name | SP FACILITY INC |
| Other Organization Name | BROOKVUE CARE CENTER |
| Practice Address |
13328 San Pablo Ave San Pablo CA 94806-3902 |
| Practice Telephone | 5102353720 |
| Mailing Telephone | 5102353720 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | JACK EASTERDAY (PRESIDENT) |
| Authorized Official Telephone | 5108997999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06359I | 05 |
| Other Name | Type Code |
|---|---|
| BROOKVUE CARE CENTER | Doing Business As Name - Organization |
| Street Address |
13328 SAN PABLO AVE |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699164129 | Carolina Cunanan | Speech-Language Pathologist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2015-01-21 |
| 1841689486 | Joan Rasmussen | Physical Therapist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2015-01-20 |
| 1982093639 | Christopher Henty-clark | Physical Therapy Assistant | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2015-01-19 |
| 1861881534 | Jocelyn Miles | Occupational Therapist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2015-01-17 |
| 1952790842 | Rey David Rivera | Occupational Therapist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2015-01-15 |
| 1922426840 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2014-03-29 |
| 1851688469 | Ryan Hasten | Physical Therapy Assistant | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2011-07-03 |
| 1750683678 | Denise Wai-fun Li | Occupational Therapist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2010-11-29 |
| 1821320417 | San Pablo Healthcare & Wellness Center LLC | Skilled Nursing Facility | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2010-02-05 |
| 1841422326 | Gay Concesa Del Rosario-seggay | Physical Therapist | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2009-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
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| 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 |
|---|---|---|---|---|
| 1811969355 | Grancare LLC | Skilled Nursing Facility | 1900 Church Ln, San Pablo, CA 94806-3708 | 2006-02-07 |
| 1932172491 | Grancare LLC | Skilled Nursing Facility | 13484 San Pablo Ave, San Pablo, CA 94806-3904 | 2006-02-07 |
| 1376966861 | Vale Operating Company Lp | Skilled Nursing Facility | 13484 San Pablo Ave, San Pablo, CA 94806-3904 | 2014-02-04 |
| 1306269386 | Creekside Operating Company Lp | Skilled Nursing Facility | 1900 Church Ln, San Pablo, CA 94806-3708 | 2014-01-28 |
| 1821320417 | San Pablo Healthcare & Wellness Center LLC | Skilled Nursing Facility | 13328 San Pablo Ave, San Pablo, CA 94806-3902 | 2010-02-05 |
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| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 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.