MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY (NPI# 1437520400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437520400 |
| Entity Type | Organization |
| Organization Name | MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY |
| Practice Address |
100 Holland Gln Escondido CA 92026-1354 |
| Practice Telephone | 7607462500 |
| Mailing Telephone | 7607462500 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | MARK MEMMELAAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7607462500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
100 HOLLAND GLN |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865035 | Kathleen Mackay Swauger | Speech-Language Pathologist | 100 Holland Gln, Escondido, CA 92026-1354 | 2020-09-10 |
| 1386283802 | Kyle Rasmussen | Physical Therapist | 100 Holland Gln, Escondido, CA 92026-1354 | 2020-01-01 |
| 1457990160 | Nicole Nadine Rubis | Speech-Language Pathologist | 100 Holland Gln, Escondido, CA 92026-1354 | 2019-12-27 |
| 1518413558 | George Lockie | Pediatrics | 100 Holland Gln, Apt 101, Escondido, CA 92026-1354 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1174065403 | Rashida Black | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026 | 2016-11-17 |
| Find all providers in zip 92026 | ||||
| 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 |
|---|---|---|---|---|
| 1174074793 | California Emergency Physicians Medical Group, A Professional Corp | Skilled Nursing Facility | 710 W 13th Ave, Escondido, CA 92025-5511 | 2016-10-19 |
| 1225400922 | Kayla Pascual | Skilled Nursing Facility | 404 W Lincoln Ave, Unit 2, Escondido, CA 92026-3734 | 2015-10-21 |
| 1437296217 | Caremeridian, LLC | Skilled Nursing Facility | 2960 Bernardo Ave, Escondido, CA 92029-6610 | 2007-01-31 |
| 1194821736 | Lvdn Ltd. | Skilled Nursing Facility | 1335 Las Villas Way, Escondido, CA 92026-1921 | 2006-09-14 |
| 1386681286 | Escondido Medical Investors Limited Partnership | Skilled Nursing Facility | 1980 Felicita Rd, Escondido, CA 92025-5922 | 2006-05-31 |
| 1154396919 | Redwood Senior Homes and Services | Skilled Nursing Facility | 710 W 13th Avenue, Escondido, CA 92025-5511 | 2006-02-22 |
| 1659369262 | Covenant Care California, LLC | Skilled Nursing Facility | 1025 West 2nd Avenue, Escondido, CA 92025-3839 | 2005-10-07 |
| 1861491490 | West Escondido Healthcare LLC | Skilled Nursing Facility | 201 North Fig Street, Escondido, CA 92025-3416 | 2005-07-15 |
| 1255337440 | Palomar Heights Care Center, LLC | Skilled Nursing Facility | 1260 E Ohio Ave, Escondido, CA 92027-3054 | 2005-06-22 |
| 1588660765 | Mek Escondido, LLC | Skilled Nursing Facility | 421 E Mission Ave, Escondido, CA 92025-1909 | 2005-06-22 |
| Find all providers in ESCONDIDO | ||||
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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.