MADERA CONVALSCENT HOSPITAL, INC. (NPI# 1104938976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104938976 |
| Entity Type | Organization |
| Organization Name | MADERA CONVALSCENT HOSPITAL, INC. |
| Other Organization Name | AUBURN GARDENS CARE CENTER |
| Practice Address |
260 Racetrack St Auburn CA 95603-5422 |
| Mailing Address |
632 E Yosemite Ave Madera CA 93638-3343 |
| Practice Telephone | 5308857051 |
| Practice Fax Number | 5308857521 |
| Mailing Telephone | 5596735149 |
| Mailing Fax Number | 5596737249 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ARDEN BENNETT (CEO) |
| Authorized Official Telephone | 5596735149 |
| 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 | ZZR05446H | 05 |
| Other Name | Type Code |
|---|---|
| Auburn Gardens Care Center | Doing Business As Name - Organization |
| Street Address |
260 RACETRACK ST |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225346315 | Ulmus Holdings, LLC | Skilled Nursing Facility | 260 Racetrack St, Auburn, CA 95603-5422 | 2010-09-22 |
| 1871645390 | Cf Auburn, LLC | Skilled Nursing Facility | 260 Racetrack St, Auburn, CA 95603-5422 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| 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 |
|---|---|---|---|---|
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1962869461 | Seattle University | Skilled Nursing Facility | 32049 109th Pl Se, Auburn, WA 98092-2567 | 2016-01-28 |
| 1619307964 | Leota Lynn Gibson | Skilled Nursing Facility | 4642 S 282nd St, Auburn, WA 98001-1110 | 2013-11-23 |
| 1295950475 | Wesley Healthcare Inc. | Skilled Nursing Facility | 1751 Wesley Rd, Auburn, IN 46706-3647 | 2007-04-14 |
| 1811061518 | North Auburn Health LLC | Skilled Nursing Facility | 2830 I St Ne, Auburn, WA 98002-2410 | 2006-11-17 |
| 1700806585 | Siena Care Center, LLC | Skilled Nursing Facility | 11600 Education St, Auburn, CA 95602-2468 | 2006-07-21 |
| 1235187931 | Evergreen Washington Healthcare Auburn, L.L.C. | Skilled Nursing Facility | 502 29th St Se, Auburn, WA 98002-7532 | 2006-05-04 |
| 1508828716 | Auburn Medical Investors, LLC | Skilled Nursing Facility | 14 Masonic Cir, Auburn, MA 01501-1341 | 2006-04-04 |
| 1902889215 | Auburn Community Hospital | Skilled Nursing Facility | 20 Park Ave, Auburn, NY 13021 | 2005-11-22 |
| 1538141379 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 116 Betz Rd, Auburn, IN 46706 | 2005-11-17 |
| Find all providers in AUBURN | ||||
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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.