SAN FRANCISCOIDENCE OPCO, LLC (NPI# 1124405121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124405121 |
| Entity Type | Organization |
| Organization Name | SAN FRANCISCOIDENCE OPCO, LLC |
| Other Organization Name | SAN FRANCISCO POST ACUTE |
| Practice Address |
5767 Mission St San Francisco CA 94112-4208 |
| Mailing Address |
140 N Union Ave Ste 320 Farmington UT 84025-2956 |
| Practice Telephone | 4155843294 |
| Mailing Telephone | 8014479829 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MARK HANCOCK (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8014479829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| San Francisco Post Acute | Doing Business As Name - Organization |
| Street Address |
5767 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450889 | Marie Castaneda Wetzler | Physical Therapy Assistant | 5767 Mission St, San Francisco, CA 94112-4208 | 2020-05-30 |
| 1083237150 | Stacy Kamimura | Physical Therapy Assistant | 5767 Mission St, San Francisco, CA 94112-4208 | 2020-05-24 |
| 1205455243 | Stephanie Panyatriratn | Physical Therapist | 5767 Mission St, San Francisco, CA 94112-4208 | 2020-04-09 |
| 1033738224 | Richard Marc Liwanag | Speech-Language Pathologist | 5767 Mission St, San Francisco, CA 94112-4208 | 2020-04-08 |
| 1679057673 | Maricris Gaerlan | Physical Therapist | 5767 Mission St, San Francisco, CA 94112-4208 | 2018-09-17 |
| 1396265922 | Aimee Elyse Bidegainberry | Physical Therapist | 5767 Mission St, San Francisco, CA 94112-4208 | 2017-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| 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 |
|---|---|---|---|---|
| 1356480545 | Jill Lee | Skilled Nursing Facility | 2740 California St, None, San Francisco, CA 94115-2514 | 2007-02-05 |
| 1629128020 | J & T Care, LLC | Skilled Nursing Facility | 1250 Hayes St, San Francisco, CA 94117-1512 | 2007-01-10 |
| 1093872715 | Central Gardens, Inc. | Skilled Nursing Facility | 1355 Ellis St, San Francisco, CA 94115-4215 | 2007-01-02 |
| 1154497824 | Sutter West Bay Hospitals | Skilled Nursing Facility | 3773 Sacramento Street, San Francisco, CA 94118 | 2006-11-27 |
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1699865527 | Helping Hands Sanctuary of Idaho, Inc. | Skilled Nursing Facility | 1477 Grove St, San Francisco, CA 94117-1421 | 2006-10-13 |
| 1215942065 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1575 7th Ave, San Francisco, CA 94122-3704 | 2006-07-30 |
| 1497779086 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1359 Pine St, San Francisco, CA 94109-4807 | 2006-07-27 |
| 1427072016 | Hillhaven - Msc Partnership | Skilled Nursing Facility | 2043 19th Ave, San Francisco, CA 94116-1253 | 2006-07-27 |
| 1053341396 | Sequoia Living Inc | Skilled Nursing Facility | 1400 Geary Boulevard, San Francisco, CA 94109-6569 | 2006-07-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
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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.