NEWPORT LLC. (NPI# 1255938015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255938015 |
| Entity Type | Organization |
| Organization Name | NEWPORT LLC. |
| Practice Address |
2030 Evergreen Ave Modesto CA 95350-3785 |
| Mailing Address |
599 Menlo Dr Ste 200 Rocklin CA 95765-3725 |
| Practice Telephone | 9168991315 |
| Mailing Telephone | 9168991315 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | BENJAMIN TUIFUA (PARTNER) |
| Authorized Official Telephone | 9168991315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Newport LLC | 7221 South Pontiac Way, Centennial, CO 80112 |
| Street Address |
2030 EVERGREEN AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237965 | Evergreen Convalescent Hospital and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2030 Evergreen Ave, Modesto, CA 95350-3785 | 2005-07-07 |
| 1699237958 | Lisa Marie Rios | Occupational Therapy Assistant | 2030 Evergreen Ave, Modesto, CA 95350-3785 | 2019-04-04 |
| 1285016188 | Windsor Modesto Healthcare, LLC | Skilled Nursing Facility | 2030 Evergreen Ave, Modesto, CA 95350-3785 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1437291929 | Covenant Care California, LLC | Skilled Nursing Facility | 3620 Dale Rd, Suite B, Modesto, CA 95356-0598 | 2007-02-13 |
| 1932251808 | Cf Modesto, LLC | Skilled Nursing Facility | 159 East Orangeburg Avenue, Modesto, CA 95350 | 2007-01-18 |
| 1427110055 | Sky Park Health Care Inc. | Skilled Nursing Facility | 1611 Scenic Dr, Modesto, CA 95355-4907 | 2006-12-13 |
| 1033221999 | Yosemite Convalescent Hospital, Inc. | Skilled Nursing Facility | 159 E Orangeburg Ave, Modesto, CA 95350-5334 | 2006-08-31 |
| 1508884487 | Crestwood Behavioral Health, Inc. | Skilled Nursing Facility | 1400 Celeste Dr, Modesto, CA 95355-5041 | 2006-07-18 |
| 1801832464 | Fig Holdings, LLC | Skilled Nursing Facility | 1310 W Granger Ave, Modesto, CA 95350-3911 | 2006-06-21 |
| 1487641361 | Covenant Care California Inc | Skilled Nursing Facility | 3620b Dale Rd, Modesto, CA 95356-0500 | 2005-10-05 |
| 1851385843 | Avalon Care Center - Modesto Hylond, LLC | Skilled Nursing Facility | 1900 Coffee Rd, Modesto, CA 95355-2703 | 2005-09-06 |
| 1245237965 | Evergreen Convalescent Hospital and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2030 Evergreen Ave, Modesto, CA 95350-3785 | 2005-07-07 |
| 1154325512 | Ghc of Modesto, LLC | Skilled Nursing Facility | 2633 W Rumble Rd, Modesto, CA 95350-0154 | 2005-06-13 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on NEWPORT LLC..
| 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.