DEVONSHIRE CARE CENTER, LLC (NPI# 1548238702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548238702 |
| Entity Type | Organization |
| Organization Name | DEVONSHIRE CARE CENTER, LLC |
| Other Organization Name | DEVONSHIRE CARE CENTER |
| Practice Address |
1350 E Devonshire Ave Hemet CA 92544 |
| Practice Telephone | 9519252571 |
| Practice Fax Number | 9516529146 |
| Mailing Telephone | 9519252571 |
| Mailing Fax Number | 9516529146 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 250000144 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT06095G | 05 |
| Other Name | Type Code |
|---|---|
| Devonshire Care Center | Doing Business As Name - Organization |
| Street Address |
1350 E DEVONSHIRE AVE |
| City | HEMET |
| State | CA |
| Zip Code | 92544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192096 | Lauren Elizabeth Stayton | Speech-Language Pathologist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2020-10-19 |
| 1023617248 | Mariella Ysobel Romero Timbang | Occupational Therapist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2020-10-19 |
| 1407482698 | Erin Moen | Physical Therapy Assistant | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2020-03-19 |
| 1831754860 | Michael Benjamin Weldy | Physical Therapist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2019-05-06 |
| 1871058677 | Angel Rodriguez Fabian Rodriguez | Physical Therapy Assistant | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2019-02-05 |
| 1922593987 | Jacqueline Gardner Hoag | Physical Therapist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2018-06-22 |
| 1508359977 | Jazmonique Marshall | Occupational Therapy Assistant | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2018-06-11 |
| 1497109391 | Jodi Dunckel | Occupational Therapy Assistant | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2016-04-17 |
| 1023407137 | Glenn Domingo Hechanova | Physical Therapist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2015-01-13 |
| 1760870042 | Daniel Williams | Occupational Therapist | 1350 E Devonshire Ave, Hemet, CA 92544-8629 | 2015-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
| 1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
| 1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
| 1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
| 1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
| 1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
| 1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
| 1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
| 1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
| 1053401802 | Marianne Tahl | Allergy & Immunology | 2390 E Florida Ave, Suite #101, Hemet, CA 92544 | 2006-10-13 |
| Find all providers in zip 92544 | ||||
| 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 |
|---|---|---|---|---|
| 1326167453 | Golden Cross Care Inc | Skilled Nursing Facility | 275 N San Jacinto St, Hemet, CA 92543-4453 | 2007-03-28 |
| 1447298138 | Manor Care of Hemet Ca LLC | Skilled Nursing Facility | 1717 W Stetson Ave, Hemet, CA 92545-6882 | 2006-06-03 |
| 1912950932 | Johnre Care LLC | Skilled Nursing Facility | 461 E Johnston Ave, Hemet, CA 92543-7113 | 2006-05-19 |
| 1699768879 | Ramona Rehabilitation and Post Acute Care, Inc. | Skilled Nursing Facility | 485 W Johnston Ave, Hemet, CA 92543-7012 | 2005-08-24 |
| 1750764767 | Congregate Living Home Riverside, Inc | Skilled Nursing Facility | 951 Cornflower Dr, Hemet, CA 92545-6370 | 2015-07-08 |
| 1225345614 | Miramonte Enterprises, LLC | Skilled Nursing Facility | 275 N San Jacinto St, Hemet, CA 92543-4453 | 2010-09-07 |
| 1184936023 | Physicians for Healthy Hospitals Inc | Skilled Nursing Facility | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2010-07-08 |
| 1619294899 | Ramona Manor Convalescent Hospital | Skilled Nursing Facility | 485 W Johnston Ave, Hemet, CA 92543-7012 | 2010-04-27 |
| 1407045990 | Innovative Hemet Operations, LLC | Skilled Nursing Facility | 2400 W Acacia Ave, Hemet, CA 92545-3743 | 2007-10-19 |
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|---|---|---|---|---|
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| 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 |
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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.