ST PAULS MODESTO LP (NPI# 1689273401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689273401 |
| Entity Type | Organization |
| Organization Name | ST PAULS MODESTO LP |
| Practice Address |
2325 St Pauls Way Modesto CA 95355-3309 |
| Practice Telephone | 2094910800 |
| Mailing Telephone | 2094910800 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DEEPAK ISRANI (OWNER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacifica Senior Living Modesto | Doing Business As Name - Organization |
| Street Address |
2325 ST PAULS WAY |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831317437 | Modesto Senior Living Limited Partnership | Alzheimer Center (Dementia Center) | 808 Mchenry Ave, Modesto, CA 95350-5443 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425925 | Pacifica Newport Mesa LLC | Alzheimer Center (Dementia Center) | 2891 Bear St, Costa Mesa, CA 92626-4306 | 2020-10-22 |
| 1992304729 | Pacifica Riverside Sl Lp | Alzheimer Center (Dementia Center) | 6280 Clay St, Riverside, CA 92509-6005 | 2020-10-22 |
| 1235738071 | Pacifica Valley Crest Lp | Alzheimer Center (Dementia Center) | 18524 Corwin Rd, Apple Valley, CA 92307-2302 | 2020-10-22 |
| 1255930095 | Pacifica Senior Living Vacaville LLC | Alzheimer Center (Dementia Center) | 431 Nut Tree Rd, Vacaville, CA 95687-3508 | 2020-10-22 |
| 1295332047 | Rvmur Operations Company | Alzheimer Center (Dementia Center) | 24271 Jackson Ave, Murrieta, CA 92562-1993 | 2020-10-05 |
| 1356980494 | Memory Spa, LLC | Alzheimer Center (Dementia Center) | 1950 Sunny Crest Dr Ste 1400, Fullerton, CA 92835-3642 | 2020-01-06 |
| 1851940308 | Vista Prado Inc | Alzheimer Center (Dementia Center) | 105 Power Dr, Vallejo, CA 94589-2529 | 2019-09-07 |
| 1821641507 | Ktre1, LLC | Alzheimer Center (Dementia Center) | 3219 Canon St, San Diego, CA 92106-2512 | 2019-07-22 |
| 1497229090 | Ktre3, LLC | Alzheimer Center (Dementia Center) | 7971 Culowee St, La Mesa, CA 91942-5509 | 2019-01-16 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 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.