SANTA FE LODGE LLC (NPI# 1851763908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851763908 |
| Entity Type | Organization |
| Organization Name | SANTA FE LODGE LLC |
| Other Organization Name | SANTA FE LODGE |
| Practice Address |
5053 Peck Rd El Monte CA 91732-1456 |
| Mailing Address |
4032 Wilshire Blvd Fl 6 Los Angeles CA 90010-3425 |
| Practice Telephone | 6264484248 |
| Mailing Telephone | 2133896900 |
| Mailing Fax Number | 2133688560 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | DAVID FRIEDMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 2133896900 |
| Is Organization Subpart | N |
| 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 | 1851763908 | 05 |
| Other Name | Type Code |
|---|---|
| Santa Fe Lodge | Doing Business As Name - Organization |
| Street Address |
5053 PECK RD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91732-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295722049 | Zilaco, Inc. | Skilled Nursing Facility | 5053 Peck Rd, El Monte, CA 91732-1497 | 2005-10-05 |
| 1295052330 | Emcl Alliance, LLC | Skilled Nursing Facility | 5053 Peck Rd, El Monte, CA 91732-1456 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244457 | Gema Ramirez | Nurse Practitioner | 11654 Bryant Road, El Monte, CA 91732 | 2020-10-28 |
| 1689207045 | Sylvia Valdez | Counselor | Healthright360, Inc, El Monte, CA 91732 | 2020-02-13 |
| 1558864819 | Charles Wang Dds, Professional Corporation | Clinic/Center | 4900 Peck Rd, El Monte, CA 91732 | 2018-03-13 |
| 1285153874 | Han Cai | Pharmacist | 11620 Rio Hondo Pkwy, El Monte, CA 91732 | 2017-09-14 |
| 1043605660 | Gary Yang Dds. A Professional Corporation | Dentist | 12015 Garney Ave. #a, El Monte., CA 91732 | 2015-03-31 |
| 1881095651 | Quang Thai | Pharmacist | 3948 N Peck Rd Unit A1-a2, El Monte, CA 91732 | 2014-09-11 |
| 1568705093 | Nancy Macias | Marriage & Family Therapist | 4024 Durfee Ave. Wing D, El Monte, CA 91732 | 2013-04-03 |
| 1598009193 | Josefina Margarita Islas | Rehabilitation Practitioner | 4024 North Durfee Avenue, Wing D, El Monte, CA 91732 | 2012-11-20 |
| 1316267586 | Ling Ma | Pharmacist | 3570 Santa Anita Ave., El Monte, CA 91732 | 2010-06-10 |
| 1316187255 | County of Los Angeles Auditor Controller | Clinic/Center | 4024 North Durfee Rd, El Monte, CA 91732 | 2009-03-05 |
| Find all providers in zip 91732 | ||||
| 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 |
|---|---|---|---|---|
| 1013045475 | Sabu Enterprises, Inc. | Skilled Nursing Facility | 5044 Buffington Rd, El Monte, CA 91732-1466 | 2007-02-28 |
| 1194898205 | Mid-wilshire Healthcare Center | Skilled Nursing Facility | 11210 Lower Azusa Rd, El Monte, CA 91731-1412 | 2006-11-16 |
| 1679665681 | Unicare Adult Day Health Care, Inc. | Skilled Nursing Facility | 9736 Garvey Ave, El Monte, CA 91733-1226 | 2006-09-28 |
| 1942306865 | Gibraltar Convalescent Hospital Inc | Skilled Nursing Facility | 2720 Nevada, El Monte, CA 91733 | 2006-09-16 |
| 1225090947 | Elmcrest Care Center, LLC | Skilled Nursing Facility | 3111 Santa Anita Avenue, El Monte, CA 91733 | 2006-04-06 |
| 1497730998 | Ramona Care, Inc. | Skilled Nursing Facility | 11900 Ramona Blvd, El Monte, CA 91732-2394 | 2005-12-07 |
| 1427045269 | Daniel C. Zilafro | Skilled Nursing Facility | 5043 Peck Rd, El Monte, CA 91732-1423 | 2005-10-05 |
| 1295722049 | Zilaco, Inc. | Skilled Nursing Facility | 5053 Peck Rd, El Monte, CA 91732-1497 | 2005-10-05 |
| 1891781423 | San Gabriel Valley Convalescent Hospital, Inc. | Skilled Nursing Facility | 3938 Cogswell Rd, El Monte, CA 91732-2404 | 2005-09-20 |
| 1003800343 | Georgia-atkison Snf, LLC | Skilled Nursing Facility | 3825 Durfee Ave, El Monte, CA 91732-2505 | 2005-09-01 |
| Find all providers in EL MONTE | ||||
Please comment or provide details below to improve the information on SANTA FE LODGE LLC.
| 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.