CORE CARE V A CA LIMITED (NPI# 1972594463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972594463 |
| Entity Type | Organization |
| Organization Name | CORE CARE V A CA LIMITED |
| Other Organization Name | PARK VISTA AT MORNINGSIDE |
| Practice Address |
2525 Brea Blvd Fullerton CA 92835-2787 |
| Practice Telephone | 7142561000 |
| Practice Fax Number | 7142568014 |
| Mailing Telephone | 7142561000 |
| Mailing Fax Number | 7142568014 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MR. ELWOOD J. WILSON III (PRESIDENT) |
| Authorized Official Telephone | 7607046255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 300613274 | CA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 060000329 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Vista at Morningside | Doing Business As Name - Organization |
| Street Address |
2525 BREA BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309463 | Susan Hahn Park | Speech-Language Pathologist | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2019-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1578656427 | Windsor Gardens Healthcare Center of Fullerton, LLC | Skilled Nursing Facility | 245 E Wilshire Ave, Fullerton, CA 92832-1935 | 2006-10-02 |
| 1205932126 | Gordon Lane Healthcare LLC | Skilled Nursing Facility | 1821 E Chapman Ave, Fullerton, CA 92831-4102 | 2006-09-16 |
| 1225089527 | Ggnsc Fullerton LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2006-05-12 |
| 1104874239 | Evergreen At Fullerton, L.L.C. | Skilled Nursing Facility | 2222 N Harbor Blvd, Fullerton, CA 92835-2605 | 2006-05-04 |
| 1396718813 | St. Elizabeth Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 2800 N Harbor Blvd, Fullerton, CA 92835-1727 | 2006-02-08 |
| 1740265248 | Sun Haven Care, Inc. | Skilled Nursing Facility | 210 E Bastanchury Rd, Fullerton, CA 92835-2607 | 2005-12-07 |
| 1871580480 | Greenfield Care Center of Fullerton, LLC | Skilled Nursing Facility | 330 W Bastanchury Rd, Fullerton, CA 92835-3403 | 2005-09-29 |
| 1205445848 | Santa Catalina Healthcare, Inc. | Skilled Nursing Facility | 245 E Wilshire Ave, Fullerton, CA 92832-1935 | 2020-07-29 |
| 1861954935 | Fullerton Operations LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2019-04-05 |
| 1285198192 | Fullerton Healthcare, Inc. | Skilled Nursing Facility | 2800 N Harbor Blvd, Fullerton, CA 92835-1727 | 2019-01-24 |
| Find all providers in FULLERTON | ||||
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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.