SUMMERVILLE AT COBBCO, INC. (NPI# 1578892980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578892980 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT COBBCO, INC. |
| Other Organization Name | BROOKDALE SAN PABLO |
| Practice Address |
13956 San Pablo Ave San Pablo CA 94806-5313 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 5102361444 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
075600298 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookdale San Pablo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485016 | Summerville At Cobbco, Inc. | Assisted Living Facility | 13250 Philadelphia St, Whittier, CA 90601-4312 | 2019-12-27 |
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| 1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 2009-12-28 |
| 1952631848 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5711 Reseda Blvd, Tarzana, CA 91356-2201 | 2009-12-28 |
| 1952631855 | Summerville At Cobbco, Inc. | Assisted Living Facility | 1031 N Euclid Ave, Ontario, CA 91762-1920 | 2009-12-28 |
| 1467781880 | Summerville At Cobbco, Inc. | Assisted Living Facility | 21000 Mission Blvd, Hayward, CA 94541-1817 | 2009-12-14 |
| 1881923571 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5900 Chapman Ave, Garden Grove, CA 92845-1604 | 2009-12-09 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| 1730418559 | Summerville At Cobbco, Inc. | Alzheimer Center (Dementia Center) | 3255 Villa Ln, Napa, CA 94558-3048 | 2009-12-08 |
| Street Address |
13956 SAN PABLO AVE |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457450 | Dellbrook Guest Home | Custodial Care Facility | 13731 Dellbrook St, Eastvale, CA 92880-5521 | 2020-11-05 |
| 1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
| 1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
| 1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
| 1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
| 1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
| 1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
| 1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
| 1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
| 1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUMMERVILLE AT COBBCO, INC..
| 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.