GREENFIELD CARE CENTER OF SOUTH GATE LLC


Address: 8455 State St, South Gate, CA 90280-2330
Phone: 3235647761

GREENFIELD CARE CENTER OF SOUTH GATE LLC (NPI# 1790772465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790772465
Entity Type Organization
Organization Name GREENFIELD CARE CENTER OF SOUTH GATE LLC
Practice Address 8455 State St
South Gate
CA 90280-2330
Mailing Address 1937 Pontius Ave
Los Angeles
CA 90025-5611
Practice Telephone 3235647761
Enumeration Date 2005-09-28
Last Update Date 2020-03-25
Authorized Official Name MR. JENG H CHEN (OWNER)
Authorized Official Telephone 3108899929
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 940000160 CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZT06217K 05

Other Provider/Organization Names

Other Name Type Code
Casa Del Rey Care Center Doing Business As Name - Organization

Office Location

Street Address 8455 STATE ST
City SOUTH GATE
State CA
Zip Code 90280-2330

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

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Competitor

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City SOUTH GATE
Zip Code 90280

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Dataset Information

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.

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