CAREMERIDIAN, LLC (NPI# 1659418473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659418473 |
| Entity Type | Organization |
| Organization Name | CAREMERIDIAN, LLC |
| Other Organization Name | NEURORESTORATIVE |
| Practice Address |
2390 Sir Francis Drake Blvd Fairfax CA 94930-1127 |
| Mailing Address |
163 Technology Dr Ste 200 Irvine CA 92618-2486 |
| Practice Telephone | 4152568007 |
| Practice Fax Number | 4152568027 |
| Mailing Telephone | 9497940787 |
| Mailing Fax Number | 9492668679 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-08-18 |
| Authorized Official Name | SEAN SHEA (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6176885251 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 010000424 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE DHS LICENSE # | 010000424 | 01 |
| CA | HCB00011F | 05 |
| Other Name | Type Code |
|---|---|
| Neurorestorative | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976973 | Caremeridian, LLC | Residential Treatment Facility, Physical Disabilities | 2301 W Campbell Rd, Garland, TX 75044-2846 | 2019-11-18 |
| 1518437698 | Caremeridian, LLC | Clinic/Center | 1136 Puente Ave, San Dimas, CA 91773-4414 | 2018-11-30 |
| 1407357247 | Caremeridian, LLC | Skilled Nursing Facility | 3980 Lake Placid Dr, Reno, NV 89511-6702 | 2018-02-27 |
| 1609306091 | Caremeridian, LLC | Skilled Nursing Facility | 13747 S Redwood Rd, Riverton, UT 84065-5710 | 2017-06-18 |
| 1114452729 | Caremeridian, LLC | Assisted Living Facility | 1255 W Chula Vista Rd, Tucson, AZ 85704-3036 | 2017-04-21 |
| 1982022869 | Caremeridian, LLC | Skilled Nursing Facility | 10339 Oso Ave, Chatsworth, CA 91311-2542 | 2014-03-28 |
| 1689097487 | Caremeridian, LLC | Skilled Nursing Facility | 9440 Texhoma Ave, Northridge, CA 91325-2333 | 2014-01-29 |
| 1235404674 | Caremeridian, LLC | Skilled Nursing Facility | 5640 Aztec Dr, La Mesa, CA 91942-1948 | 2012-03-19 |
| 1497020093 | Caremeridian, LLC | Skilled Nursing Facility | 5945 S Wright St, Littleton, CO 80127-4603 | 2012-03-14 |
| 1669758736 | Caremeridian, LLC | Skilled Nursing Facility | 10035 Oso Ave, Chatsworth, CA 91311-3944 | 2011-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CareMeridian, LLC | 313 Congress St., 5th Floor, Boston, MA 02210 |
| Street Address |
2390 SIR FRANCIS DRAKE BLVD |
| City | FAIRFAX |
| State | CA |
| Zip Code | 94930-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1760661920 | Joseph Phillip Smith | Chiropractor | 85 Bolinas Rd Ste 2, Fairfax, CA 94930 | 2007-10-24 |
| 1033735436 | Amie Lois Rudolph | Social Worker | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94930 | 2020-06-22 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1598975773 | Anya Maruscha | Social Worker | 53 Taylor Dr, Fairfax, CA 94930-1261 | 2007-05-23 |
| 1053502112 | Gislene Maria Peral | Occupational Therapist | 336 Olema Rd, Fairfax, CA 94930-1318 | 2007-08-05 |
| 1073827739 | Shelley Diane | Registered Nurse | 1 Shemran Ct, Fairfax, CA 94930-1321 | 2010-08-04 |
| Find all providers in zip 94930 | ||||
| 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 |
|---|---|---|---|---|
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1861437154 | Manor Care-fair Oaks of Fairfax Va LLC | Skilled Nursing Facility | 12475 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2803 | 2006-06-19 |
| 1710963251 | Fairfax Community Home Inc | Skilled Nursing Facility | 300 10th Ave Se, Fairfax, MN 55332-2149 | 2005-12-16 |
| 1972592533 | The Temple Foundation Inc. | Skilled Nursing Facility | 9229 Arlington Blvd, Fairfax, VA 22031-2504 | 2005-10-17 |
| 1386636116 | Fairfax Nursing Center, Inc | Skilled Nursing Facility | 10701 Main St, Fairfax, VA 22030-6904 | 2005-08-18 |
| 1033718382 | Fairfax Operator LLC | Skilled Nursing Facility | 10701 Main St, Fairfax, VA 22030-6904 | 2020-10-19 |
| 1912032012 | Inova Health System Services | Skilled Nursing Facility | 4315 Chain Bridge Rd, Fairfax, VA 22030-3061 | 2007-02-22 |
| 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 | ||||
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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.