VINTAGE ESTATES III INC (NPI# 1821087966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821087966 |
| Entity Type | Organization |
| Organization Name | VINTAGE ESTATES III INC |
| Other Organization Name | VINTAGE ESTATES OF RICHMOND |
| Practice Address |
955 23rd St Richmond CA 94804-1250 |
| Mailing Address |
25919 Gading Rd Hayward CA 94544-2725 |
| Practice Telephone | 5102375182 |
| Practice Fax Number | 5102375152 |
| Mailing Telephone | 5107823825 |
| Mailing Fax Number | 5107828793 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | MRS. SALLY JANE RAPP (DIRECTOR) |
| Authorized Official Telephone | 5107823825 |
| Is Organization Subpart | Y |
| Parent Organization Name | SR ADMINISTRATIVE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR064721 | 05 |
| Other Name | Type Code |
|---|---|
| VIntage Estates of Richmond | Doing Business As Name - Organization |
| Street Address |
955 23RD ST |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557620 | Richmond Post Acute Care, LLC. | Skilled Nursing Facility | 955 23rd St, Richmond, CA 94804-1250 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| 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. |
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| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1013450881 | Recover-care Richmond LLC | Skilled Nursing Facility | 340 South St, Richmond, KS 66080-4040 | 2016-11-28 |
| 1881062586 | Henry County Memorial Hospital | Skilled Nursing Facility | 400 Industries Road, Richmond, IN 47374-3727 | 2015-09-11 |
| 1144585019 | O'bryant House | Skilled Nursing Facility | 7122 Timber Moss Ln, Richmond, TX 77469-4115 | 2012-07-06 |
| 1952672487 | Kathy P Riordan | Skilled Nursing Facility | 211 Buena Vista Ave, Richmond, CA 94801-4026 | 2012-01-13 |
| 1619184645 | Sitter-barfoot Veterans Care Center | Skilled Nursing Facility | 1601 Broad Rock Blvd, Richmond, VA 23224 | 2007-05-17 |
| 1245454677 | The Laurels of Bon Air, LLC | Skilled Nursing Facility | 9101 Bon Air Crossings Drive, Richmond, VA 23235 | 2007-04-13 |
| 1528189008 | Oakbend Medical Center | Skilled Nursing Facility | 2127 Preston St, Richmond, TX 77469-1418 | 2007-04-03 |
| 1467590562 | Heritage House of Richmond | Skilled Nursing Facility | 2070 Chester Blvd, Richmond, IN 47374-1215 | 2007-02-01 |
| 1093875221 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2050 Chester Blvd, Richmond, IN 47374 | 2006-12-11 |
| Find all providers in RICHMOND | ||||
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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.