SHATTUCK HEALTHCARE INC. DBA ELMWOOD NURSING AND REHABILITATION CENTER (NPI# 1609885920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609885920 |
| Entity Type | Organization |
| Organization Name | SHATTUCK HEALTHCARE INC. DBA ELMWOOD NURSING AND REHABILITATION CENTER |
| Practice Address |
2829 Shattuck Ave Berkeley CA 94705-1037 |
| Practice Telephone | 5106652800 |
| Practice Fax Number | 5106652808 |
| Mailing Telephone | 5106652800 |
| Mailing Fax Number | 5106652808 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LUZVIMINDA G LUKBAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5106652800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55819F | 05 |
| Street Address |
2829 SHATTUCK AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396985701 | Jo-annie Seda | Occupational Therapist | 2829 Shattuck Ave, Berkeley, CA 94705-1037 | 2009-02-24 |
| 1912125469 | Leslie Burkhard | Occupational Therapist | 2829 Shattuck Ave, Berkeley, CA 94705-1037 | 2007-04-22 |
| 1023183662 | Shattuck Healthcare Inc | Skilled Nursing Facility | 2829 Shattuck Ave, Berkeley, CA 94705-0000 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1912072554 | Sanhyd, Inc | Skilled Nursing Facility | 2131 Carleton St, Berkeley, CA 94704-3213 | 2006-11-21 |
| 1972601987 | Vip Care Management Inc | Skilled Nursing Facility | 2270 Ashby Ave, Berkeley, CA 94705 | 2006-09-21 |
| 1578675997 | Berkeley Pines Care Center, Inc. | Skilled Nursing Facility | 2223 Ashby Ave, Berkeley, CA 94705-1907 | 2006-08-31 |
| 1659366771 | Chaparral Foundation | Skilled Nursing Facility | 1309 Allston Way, Berkeley, CA 94702-1920 | 2005-09-14 |
| 1982066932 | Skilledmd, Inc. | Skilled Nursing Facility | 2512 Telegraph Ave, Suite 350, Berkeley, CA 94704-2918 | 2016-03-28 |
| 1356746929 | Berkeley Pines Skilled Nursing Group, Inc. | Skilled Nursing Facility | 2223 Ashby Ave, Berkeley, CA 94705-1907 | 2014-10-24 |
| 1568676393 | Mms Quality Nursing Services, Inc. | Skilled Nursing Facility | 2270 Ashby Ave, Berkeley, CA 94705 | 2007-05-10 |
| 1023183662 | Shattuck Healthcare Inc | Skilled Nursing Facility | 2829 Shattuck Ave, Berkeley, CA 94705-0000 | 2006-11-21 |
| 1316021546 | Sutter East Bay Hospitals | Skilled Nursing Facility | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-24 |
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| 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.