ROSE PARK HEALTHCARE ASSOCIATES,INC. (NPI# 1811996507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811996507 |
| Entity Type | Organization |
| Organization Name | ROSE PARK HEALTHCARE ASSOCIATES,INC. |
| Other Organization Name | SHORELINE HEALTHCARE CENTER |
| Practice Address |
4029 E Anaheim St Long Beach CA 90804-4110 |
| Practice Telephone | 5624944421 |
| Practice Fax Number | 5624942731 |
| Mailing Telephone | 5624944421 |
| Mailing Fax Number | 5624942731 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD COOK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5624944421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05353G | 05 |
| Other Name | Type Code |
|---|---|
| Shoreline Healthcare Center | Doing Business As Name - Organization |
| Street Address |
4029 E ANAHEIM ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871743856 | Elder Audio Rehab Medical Group Inc | Otolaryngology | 4029 E Anaheim St, Long Beach, CA 90804-4110 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| 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 |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1447791959 | Retirement Housing Foundation | Skilled Nursing Facility | 911 N Studebaker Rd, Long Beach, CA 90815-4900 | 2017-03-16 |
| 1063877223 | Sincerity Homes, LLC | Skilled Nursing Facility | 2910 De Forest Ave, Long Beach, CA 90806-1405 | 2015-12-15 |
| 1487046900 | Hallmark Rehab | Skilled Nursing Facility | 1803 Termino Ave, #2402, Long Beach, CA 90815-2691 | 2015-02-19 |
| 1063800274 | Hallmark Rehab | Skilled Nursing Facility | 2401 Cedar Ave, Long Beach, CA 90807 | 2014-12-23 |
| 1356694483 | Ephesian Wellness Center, Inc | Skilled Nursing Facility | 723 E 9th St., Long Beach, CA 90813 | 2012-10-26 |
| 1083935746 | Genesis Healthcare Center, Inc | Skilled Nursing Facility | 1201 Walnut Ave, Long Beach, CA 90813-3822 | 2010-06-17 |
| 1245422187 | Ridgill Johnson Properties, Inc | Skilled Nursing Facility | 3557 Atlantic Avenue, Suite 188, Long Beach, CA 90807 | 2007-08-14 |
| 1720111479 | Park Avenue Operating Company LLC | Skilled Nursing Facility | 425 National Blvd, Long Beach, NY 11561-2031 | 2007-03-13 |
| 1053453902 | Covenant Care California, LLC | Skilled Nursing Facility | 2725 Pacific Avenue, Long Beach, CA 90806-2612 | 2007-02-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.