SOUTH PACIFIC REHABILITATION SERVISEC


Address: 10469 Larwin Ave Unit 4, Chatsworth, CA 91311-0314
Phone: 8182747478

SOUTH PACIFIC REHABILITATION SERVISEC (NPI# 1891148201) 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) 1891148201
Entity Type Organization
Organization Name SOUTH PACIFIC REHABILITATION SERVISEC
Practice Address 10469 Larwin Ave Unit 4
Chatsworth
CA 91311-0314
Mailing Address 10469 Larwin Ave 4
Chatsworth
CA 91311
Practice Telephone 8182747478
Mailing Telephone 8182747478
Enumeration Date 2016-07-20
Last Update Date 2016-07-20
Authorized Official Name TERESA FERN FARAG (OTA/L)
Authorized Official Telephone 8182747478
Authorized Official Credential AA DEGREE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 224200000 CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 224200000 05

Office Location

Street Address 10469 LARWIN AVE UNIT 4
City CHATSWORTH
State CA
Zip Code 91311-0314

Providers in the same zip code

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1689141814 Radiance Recovery Inc. Clinic/Center 10522 Desoto Ave, Chatsworth, CA 91311 2018-10-25
1003390667 Christian Anthony Henningsen Physical Therapist 9700 De Soto Avenue, Attn: Dr. Christian Henningsen, Pt, Dpt, Chatsworth, CA 91311 2018-09-19
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982022869 Caremeridian, LLC Skilled Nursing Facility 10339 Oso Ave, Chatsworth, CA 91311-2542 2014-03-28
1669758736 Caremeridian, LLC Skilled Nursing Facility 10035 Oso Ave, Chatsworth, CA 91311-3944 2011-11-02
1265601991 Caremeridian, LLC Skilled Nursing Facility 20621 Mayall St, Chatsworth, CA 91311-3110 2008-02-27
1184826679 Caremeridian, LLC Skilled Nursing Facility 19856 Mayall St, Chatsworth, CA 91311-3521 2007-06-05
1730381229 Caremeridian, LLC Skilled Nursing Facility 10318 Laramie St., Chatsworth, CA 91311-2530 2007-06-05
1396947180 Caremeridian, LLC Skilled Nursing Facility 19640 Bermuda St., Chatsworth, CA 91311-1908 2007-06-04
1174601280 Verdugo Valley Convalescent Hospital Skilled Nursing Facility 9420 Topanga Canyon Blvd, #207, Chatsworth, CA 91311-5759 2006-11-02
1164457644 Goldstar Healthcare Center of Chatsworth, Inc. Skilled Nursing Facility 21820 Craggy View St, Chatsworth, CA 91311-2909 2006-07-12
1417923491 Chatsworth Health Care Center, Inc. Skilled Nursing Facility 102 Hospital Dr, Chatsworth, GA 30705-2058 2006-02-28
1477530087 C.p.c.h. Inc. Skilled Nursing Facility 10610 Owensmouth Ave, Chatsworth, CA 91311-2151 2005-12-23
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Competitor

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City CHATSWORTH
Zip Code 91311

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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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