DOUBLE GSG, INC. (NPI# 1871921478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871921478 |
Entity Type | Organization |
Organization Name | DOUBLE GSG, INC. |
Other Organization Name | SANDALWOOD HOME |
Practice Address |
113 N Sandalwood Ave La Puente CA 91744-5239 |
Practice Telephone | 6266658338 |
Mailing Telephone | 6266658338 |
Enumeration Date | 2013-10-17 |
Last Update Date | 2013-10-18 |
Authorized Official Name | MR. NAPOLEON GARCIA (ADMINISTRATOR) |
Authorized Official Telephone | 6266658338 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Sandalwood Home | Doing Business As Name - Organization |
Street Address |
113 N SANDALWOOD AVE |
City | LA PUENTE |
State | CA |
Zip Code | 91744-5239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386884856 | St. Mary Joseph Homes Inc | Nursing Facility/Intermediate Care Facility | 113 N Sandalwood Ave, La Puente, CA 91744-5239 | 2009-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801030457 | Holy Infant Jesus Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 18812 Highcastle St, La Puente, CA 91744-6140 | 2009-04-27 |
1386884856 | St. Mary Joseph Homes Inc | Nursing Facility/Intermediate Care Facility | 113 N Sandalwood Ave, La Puente, CA 91744-5239 | 2009-02-24 |
1922289644 | Rcn Pediatric Care IIi | Nursing Facility/Intermediate Care Facility | 1429 Greenberry Dr, La Puente, CA 91744-1046 | 2007-11-21 |
1295916914 | Rcn Pediatric Care II | Nursing Facility/Intermediate Care Facility | 15525 Fellowship St, La Puente, CA 91744-1114 | 2007-11-21 |
1851572572 | Rcn Pediatric C Are | Nursing Facility/Intermediate Care Facility | 1520 N Hacienda Blvd, La Puente, CA 91744-1134 | 2007-11-21 |
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1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
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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.