GOLDEN GATEIDENCE OPCO, LLC (NPI# 1639692080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639692080 |
| Entity Type | Organization |
| Organization Name | GOLDEN GATEIDENCE OPCO, LLC |
| Other Organization Name | VICTORIAN POST ACUTE |
| Practice Address |
2121 Pine St San Francisco CA 94115-2829 |
| Mailing Address |
140 N Union Ave Ste 320 Farmington UT 84025-2956 |
| Practice Telephone | 8014479829 |
| Practice Fax Number | 8014479829 |
| Mailing Telephone | 8014479829 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MARK HANCOCK (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8014479829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Victorian Post Acute | Doing Business As Name - Organization |
| Street Address |
2121 PINE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1568087989 | Michael Eric Galvan | Physical Therapy Assistant | 2121 Pine St, San Francisco, CA 94115-2829 | 2020-06-11 |
| 1952926503 | Shellee Leong Poon | Occupational Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2020-06-09 |
| 1871117978 | Jacqueline Rocio Molina | Speech-Language Pathologist | 2121 Pine St, San Francisco, CA 94115-2829 | 2020-06-04 |
| 1811511322 | John Vuu | Speech-Language Pathologist | 2121 Pine St, San Francisco, CA 94115-2829 | 2020-05-31 |
| 1730747031 | Elizabeth June Kim | Occupational Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2019-05-31 |
| 1144795428 | Kenneth Hway | Occupational Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2018-10-12 |
| 1134601446 | Wing Chi Chan | Occupational Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2018-09-04 |
| 1194206391 | Hillary Coates | Physical Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2018-08-24 |
| 1467932640 | Lindsay Lai | Speech-Language Pathologist | 2121 Pine St, San Francisco, CA 94115-2829 | 2018-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| 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 |
|---|---|---|---|---|
| 1124405121 | San Franciscoidence Opco, LLC | Skilled Nursing Facility | 5767 Mission St, San Francisco, CA 94112-4208 | 2015-04-29 |
| 1356480545 | Jill Lee | Skilled Nursing Facility | 2740 California St, None, San Francisco, CA 94115-2514 | 2007-02-05 |
| 1629128020 | J & T Care, LLC | Skilled Nursing Facility | 1250 Hayes St, San Francisco, CA 94117-1512 | 2007-01-10 |
| 1093872715 | Central Gardens, Inc. | Skilled Nursing Facility | 1355 Ellis St, San Francisco, CA 94115-4215 | 2007-01-02 |
| 1154497824 | Sutter West Bay Hospitals | Skilled Nursing Facility | 3773 Sacramento Street, San Francisco, CA 94118 | 2006-11-27 |
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1699865527 | Helping Hands Sanctuary of Idaho, Inc. | Skilled Nursing Facility | 1477 Grove St, San Francisco, CA 94117-1421 | 2006-10-13 |
| 1215942065 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1575 7th Ave, San Francisco, CA 94122-3704 | 2006-07-30 |
| 1497779086 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1359 Pine St, San Francisco, CA 94109-4807 | 2006-07-27 |
| 1427072016 | Hillhaven - Msc Partnership | Skilled Nursing Facility | 2043 19th Ave, San Francisco, CA 94116-1253 | 2006-07-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
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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.