COASTSIDE CONVALESCENT ASSOCIATES LLC (NPI# 1134526783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134526783 |
| Entity Type | Organization |
| Organization Name | COASTSIDE CONVALESCENT ASSOCIATES LLC |
| Other Organization Name | THREE BELLS OF MONTARA |
| Practice Address |
1186 Acacia Street Montara CA 94037-1252 |
| Practice Telephone | 6507285483 |
| Practice Fax Number | 6507288649 |
| Mailing Telephone | 6507285483 |
| Mailing Fax Number | 6507288649 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | MRS. SHAROLYN KRIGER (ADMINISTRATOR) |
| Authorized Official Telephone | 6507285483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 415600502 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Three Bells of Montara | Doing Business As Name - Organization |
| Street Address |
1186 ACACIA STREET |
| City | MONTARA |
| State | CA |
| Zip Code | 94037-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188296 | Walter Koetke | Massage Therapist | 411 5th St, Montara, CA 94037 | 2020-09-10 |
| 1790390615 | Michael Marshall | Massage Therapist | 199 2nd St, Montara, CA 94037 | 2020-09-09 |
| 1457824708 | Suzanne Stephanik | Social Worker | 725 Pedro Mt Rd, Montara, CA 94037 | 2019-01-09 |
| 1336632900 | Lillian Hansen | Psychologist | 1384 Birch St., 1384 Birch St., Montara, CA 94037 | 2018-06-08 |
| 1083782684 | Renata Brownbridge Apc | Social Worker | 347 14th Street, Montara, CA 94037 | 2006-12-01 |
| 1477514099 | Eric Charles Trefelner | Radiology | 102 12th Street, Montara, CA 94037 | 2006-03-31 |
| 1548409964 | Steven B Groubert | Optometrist | 215 9th St, Montara, CA 94037-0465 | 2009-02-09 |
| 1982004727 | Debbie Lloyd | Mechanotherapist | 1041 Cedar St., Montara, CA 94037-0707 | 2014-08-29 |
| 1366093478 | Rachel Young | Occupational Therapist | 1340 Cedar St, Montara, CA 94037-0861 | 2019-09-20 |
| 1285715797 | John Roumasset | Psychiatry & Neurology | 301 3rd Street, Montara, CA 94037-1041 | 2006-10-18 |
| Find all providers in zip 94037 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.