LAUREL HOUSE ICF (NPI# 1831722255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831722255 |
| Entity Type | Organization |
| Organization Name | LAUREL HOUSE ICF |
| Practice Address |
226 N Laurel Ave Upland CA 91786-5936 |
| Mailing Address |
1476 W 9th St Ste B1 Upland CA 91786-5699 |
| Practice Telephone | 9515454462 |
| Mailing Telephone | 9515454462 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | KATHLEEN JANET HAYWOOD (PRESIDENT) |
| Authorized Official Telephone | 9515454462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Laurel House | Doing Business As Name - Organization |
| Street Address |
226 N LAUREL AVE |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1366578668 | Casa Health Care Inc. | Nursing Facility/Intermediate Care Facility | 85 W 17th St, Upland, CA 91784-1935 | 2007-02-23 |
| 1376181461 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1720626815 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1962040063 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1871131979 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1780222885 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1578101663 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1295373389 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| 1366080459 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St, Upland, CA 91786-4576 | 2019-12-19 |
| Find all providers in UPLAND | ||||
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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.