LONE TREE CONVALESCENT HOSPITAL, INC. (NPI# 1871661967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871661967 |
| Entity Type | Organization |
| Organization Name | LONE TREE CONVALESCENT HOSPITAL, INC. |
| Other Organization Name | LONE TREE CONVALESCENT HOSPITAL |
| Practice Address |
4001 Lone Tree Way Antioch CA 94509-6232 |
| Practice Telephone | 9257540470 |
| Practice Fax Number | 9257549142 |
| Mailing Telephone | 9257540470 |
| Mailing Fax Number | 9257549142 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | MRS. PHYLENE SUNGA (ADMINISTRATOR) |
| Authorized Official Telephone | 9253834810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 140000199 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06021H | 05 |
| Other Name | Type Code |
|---|---|
| Lone Tree Convalescent Hospital | Doing Business As Name - Organization |
| Street Address |
4001 LONE TREE WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605304 | Nympha Magat | Physical Therapy Assistant | 4001 Lone Tree Way, Antioch, CA 94509-6232 | 2020-09-28 |
| 1821613803 | Contra Loma Healthcare, LLC | Skilled Nursing Facility | 4001 Lone Tree Way, Antioch, CA 94509-6232 | 2020-06-15 |
| 1386067684 | Marisa Lewis | Occupational Therapist | 4001 Lone Tree Way, Antioch, CA 94509-6232 | 2014-01-23 |
| 1508163056 | Anthony Steven Hobbs | Speech-Language Pathologist | 4001 Lone Tree Way, Antioch, CA 94509 | 2011-02-18 |
| 1740512144 | Raymund Sayco Acacio | Physical Therapist | 4001 Lone Tree Way, Antioch, CA 94509 | 2010-02-10 |
| 1790987527 | Christine A Rose Franks | Physical Therapy Assistant | 4001 Lone Tree Way, A Street, Antioch, CA 94509-6232 | 2007-06-04 |
| 1609080381 | Karyn Stacey Baldwin | Physical Therapy Assistant | 4001 Lone Tree Way, Antioch, CA 94509 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1811425960 | Cressida Care | Skilled Nursing Facility | 3460 Wren Ct, Antioch, CA 94509-6455 | 2017-06-01 |
| 1225260227 | Rehab Care | Skilled Nursing Facility | 1759 Red Jacket Dr, Antioch, TN 37013-4483 | 2009-08-10 |
| 1528120458 | Ebenezer Home of Tennessee, Inc. | Skilled Nursing Facility | 500 Hickory Hollow Ter, Antioch, TN 37013-2115 | 2006-12-15 |
| 1407924582 | Norcal Care Centers, Inc | Skilled Nursing Facility | 1210 A St, Antioch, CA 94509-2327 | 2006-11-30 |
| 1114542198 | Antioch Dunes Healthcare, LLC | Skilled Nursing Facility | 1210 A St, Antioch, CA 94509-2327 | 2020-06-15 |
| 1821613803 | Contra Loma Healthcare, LLC | Skilled Nursing Facility | 4001 Lone Tree Way, Antioch, CA 94509-6232 | 2020-06-15 |
| 1538449608 | Highland Park Medical Investors, LLC | Skilled Nursing Facility | 4200 Murfreesboro Pike, Antioch, TN 37013-2789 | 2011-08-22 |
| 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 |
| 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.