P.G.H.C.C., INC (NPI# 1275614448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275614448 |
| Entity Type | Organization |
| Organization Name | P.G.H.C.C., INC |
| Other Organization Name | PACIFIC GROVE CONVALESCENT HOSPITAL |
| Practice Address |
200 Lighthouse Ave Pacific Grove CA 93950-3022 |
| Practice Telephone | 8313752695 |
| Practice Fax Number | 8316479639 |
| Mailing Telephone | 8313752695 |
| Mailing Fax Number | 8316479639 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. JOHN DOUGLAS LUND (ADMINISTRATOR) |
| Authorized Official Telephone | 8055655000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 70000075 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR05356G | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Grove Convalescent Hospital | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | P&S HIGH QUALITY CONTRACTORS, INC. | 6 Talbot Ave, N. Billerica, MA 01862 |
| New York State Corporations | PACE HIGH SCHOOL PARENT ASSOCIATION, INC. | 1550 East 102nd St #2e, Brooklyn, New York 11236 |
| System for Award Management (SAM) Entities | PACIFIC COMPOUNDING PHARMACY AND CONSULTATIONS, INC. | 312 Lincoln Ctr, Stockton, CA 95207-2627 |
| Washington State Corporations | PACIFIC HEIGHTS CONSTRUCTION, INC | 755 Winslow Way Ste 200, Bainbridge Island, WA 98110 |
| Massachusetts Corporations | PALM BEACH WEIGHT CONTROL CENTERS OF NEW ENGLAND, INC. | 93 Sixth St., Cambridge, MA 02141 |
| Colorado Business Entities | Palmer Heights Construction Co., Inc. | 2791 Skyline Ct., Grand Junction, CO 81506 |
| Connecticut Business Registrations | Panthers Girls Hockey Association, Inc. | 31 Dartmouth Road, Cos Cob, CT 06807 |
| Colorado Business Entities | Paragon Geophysical Services, Inc. | 3500 N Rock Rd, Bldg 800, Wichita, KS 67226 |
| Indiana Business Entities | PARAGON HOME CARE SERVICES, INC. | 1527 Mckinley Ave, South Bend, IN 46617 |
| Washington State Corporations | PARAGON TECHNICAL ROOF SERVICES, INC | 8 Riva Ridge, Frico, WA 75034 |
| Street Address |
200 LIGHTHOUSE AVE |
| City | PACIFIC GROVE |
| State | CA |
| Zip Code | 93950-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881152031 | 200 Lighthouse, LLC | Skilled Nursing Facility | 200 Lighthouse Ave, Pacific Grove, CA 93950-3022 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167878 | Joseph C. Hutchinson Jr. | Massage Therapist | 505 Lighthouse Ave. (#104) Ca, Suite # 104, Pacific Grove, CA 93950 | 2018-03-13 |
| 1306274956 | Katherine Hoops | Speech-Language Pathologist | 170 17th St Ste B, Pacific Grove, CA 93950 | 2013-10-17 |
| 1568896918 | Dr Li Liu Acupuncture & Herbal Medicine | Acupuncturist | 311 Forest Ave., Suite B-2, Pacific Grove, CA 93950 | 2013-08-21 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1417224395 | David J Banks | Pharmacist | 1212 Forest Avenue, Pacific Grove, CA 93950 | 2011-11-21 |
| 1558643346 | Carolyn Bloye | Counselor | 207 16th St Ste 314, Pacific Grove, CA 93950 | 2011-09-16 |
| 1821327248 | David Craig Wright | Internal Medicine | 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 | 2009-12-14 |
| 1558512350 | Rachel Evelyn Amerault | Counselor | 951 Blanco Cr Ste B, Salinas, CA 93950 | 2008-10-10 |
| 1629237664 | David Randall Simonds | Marriage & Family Therapist | 621 Forest Avenue, Pacific Grove, CA 93950 | 2008-06-05 |
| 1942410311 | Barbara Carroll Robinson | Marriage & Family Therapist | 311c Forest Ave, Pacific Grove, CA 93950 | 2007-05-23 |
| Find all providers in zip 93950 | ||||
| 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 |
|---|---|---|---|---|
| 1639324478 | California Nevada Methodist Homes | Skilled Nursing Facility | 551 Gibson Ave, Pacific Grove, CA 93950-4330 | 2008-11-20 |
| 1225108749 | Covia Communities | Skilled Nursing Facility | 651 Sinex Ave, Pacific Grove, CA 93950-4253 | 2006-11-09 |
| 1881152031 | 200 Lighthouse, LLC | Skilled Nursing Facility | 200 Lighthouse Ave, Pacific Grove, CA 93950-3022 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC GROVE |
| Zip Code | 93950 |
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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.