MAGNOLIA GARDENS CONVALESCENT HOSPITAL, INC. (NPI# 1588750202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588750202 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA GARDENS CONVALESCENT HOSPITAL, INC. |
| Other Organization Name | MAGNOLIA GARDENS CONVALESCENT HOSPITAL |
| Practice Address |
17922 San Fernando Mission Blvd Granada Hills CA 91344-4043 |
| Mailing Address |
4032 Wilshire Blvd Fl6 Los Angeles CA 90010-3425 |
| Practice Telephone | 8183601864 |
| Practice Fax Number | 8183603801 |
| Mailing Telephone | 2133896900 |
| Mailing Fax Number | 2133688560 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | DAVID FRIEDMAN (PRESIDENT) |
| Authorized Official Telephone | 2133896900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 920000047 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZTO5142G | 05 |
| Other Name | Type Code |
|---|---|
| Magnolia Gardens Convalescent Hospital | Doing Business As Name - Organization |
| Street Address |
17922 SAN FERNANDO MISSION BLVD |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134585151 | Sprs | Skilled Nursing Facility | 17922 San Fernando Mission Blvd, Granada Hills, CA 91344-4043 | 2016-01-06 |
| 1396935342 | Janise Evangelista | Physical Therapist | 17922 San Fernando Mission Blvd, Granada Hills, CA 91344-4043 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230296 | A&e Home Health Care Inc | Home Health | 17631 Chatsworth Street Ste B Room C, Granada Hills, CA 91344 | 2020-06-23 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1972066934 | Apple Speech and Educational Services, Inc. | Speech-Language Pathologist | 16853 Rinaldi Street, Granada Hills, CA 91344 | 2019-04-08 |
| 1376016642 | Hypnos Sleep Laboratory & Treatement Center, Inc | Clinic/Center | 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 | 2019-01-09 |
| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
| Find all providers in zip 91344 | ||||
| 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 |
|---|---|---|---|---|
| 1194231605 | Mayane Congregate Living | Skilled Nursing Facility | 17227 Simonds St, Granada Hills, CA 91344-3512 | 2017-12-19 |
| 1871670083 | Granada Hills Convalescent Hospital, Inc | Skilled Nursing Facility | 16123 Chatsworth St, Granada Hills, CA 91344 | 2006-11-01 |
| 1447247796 | Rinaldi Operating Company LLC | Skilled Nursing Facility | 16553 Rinaldi St, Granada Hills, CA 91344-3762 | 2005-10-03 |
| 1902893266 | Casitas Operating Company LLC | Skilled Nursing Facility | 10626 Balboa Blvd, Granada Hills, CA 91344-6329 | 2005-10-03 |
| 1235455510 | Kf Rinaldi LLC | Skilled Nursing Facility | 16553 Rinaldi St, Granada Hills, CA 91344-3762 | 2010-04-12 |
| 1053637330 | Kf Casitas LLC | Skilled Nursing Facility | 10626 Balboa Blvd, Granada Hills, CA 91344-6329 | 2010-04-12 |
| 1235272170 | Broadwater Rinaldi Care Center, LLC | Skilled Nursing Facility | 16553 Rinaldi St, Granada Hills, CA 91344-3762 | 2007-02-14 |
| 1548303472 | Broadwater Casitas Care Center, LLC | Skilled Nursing Facility | 10626 Balboa Blvd, Granada Hills, CA 91344-6329 | 2007-02-14 |
| 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 | GRANADA HILLS |
| Zip Code | 91344 |
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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.