VILLA CONVALESCENT HOSPITAL INC. (NPI# 1386629889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629889 |
| Entity Type | Organization |
| Organization Name | VILLA CONVALESCENT HOSPITAL INC. |
| Other Organization Name | VILLA HEALTH CARE CENTER |
| Practice Address |
8965 Magnolia Ave Riverside CA 92503-4432 |
| Practice Telephone | 9516895788 |
| Mailing Telephone | 9516895788 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | SPENCER OLSEN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9492402423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 250000219 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05112G | 05 |
| Other Name | Type Code |
|---|---|
| VILLA HEALTH CARE CENTER | Doing Business As Name - Organization |
| Street Address |
8965 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188492 | The Villa Health Care Center | Custodial Care Facility | 8965 Magnolia Ave, Riverside, CA 92503-4432 | 2015-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1336700772 | Riverside Snf, LLC | Skilled Nursing Facility | 17040 Arnold Dr, Riverside, CA 92518-2813 | 2019-06-26 |
| 1497168496 | Riverside Villa | Skilled Nursing Facility | 3495 Jefferson St, Riverside, CA 92504-3519 | 2014-06-06 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1700186590 | Community Care Rehab Center LLC | Skilled Nursing Facility | 4070 Jurapa Ave, Riverside, CA 92506-2234 | 2010-10-26 |
| 1366643603 | Mutual Care Management, Inc. | Skilled Nursing Facility | 9025 Colorado Ave, Riverside, CA 92503-2157 | 2007-05-31 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1700912458 | Hattie Ide Chaffee Nursing Home Inc | Skilled Nursing Facility | 200 Wampanoag Trl, Riverside, RI 02915-2206 | 2007-02-26 |
| 1588734164 | Vista Pacifica Enterprises Inc. | Skilled Nursing Facility | 3674 Pacific Ave, Riverside, CA 92509-1948 | 2006-11-09 |
| 1730275769 | Trinity Oakland, Inc | Skilled Nursing Facility | 8487 Magnolia Ave, Riverside, CA 92504-3222 | 2006-10-05 |
| 1902902828 | F. & B. Health Care | Skilled Nursing Facility | 8171 Magnolia, Riverside, CA 92504 | 2006-09-16 |
| Find all providers in RIVERSIDE | ||||
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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.