DESERT CANYON POST ACUTE, LLC (NPI# 1912403718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912403718 |
| Entity Type | Organization |
| Organization Name | DESERT CANYON POST ACUTE, LLC |
| Practice Address |
1642 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
400 Exchange Ste 140 Irvine CA 92602-1343 |
| Practice Telephone | 6619428463 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-05 |
| Authorized Official Name | JOSE LYNCH (MANAGING MEMBER) |
| Authorized Official Telephone | 7146736810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1642 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760437628 | Five Star Quality Care Ca LLC | Skilled Nursing Facility | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2006-05-22 |
| 1679084537 | Christopher Stephen Hext | Physical Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2017-10-18 |
| 1497206437 | Andrew Harold Ambrus | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2016-10-14 |
| 1447643994 | Myra Silvestre Baladad | Physical Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-03-09 |
| 1225429517 | Sridevi Surampudi | Occupational Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-02-09 |
| 1326437773 | Marilyn Johnson | Clinic/Center | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
| 1336538743 | Jerene Montelibano | Physical Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
| 1013306539 | Raphael Moore | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-21 |
| 1831588755 | Rowena Nova | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-15 |
| 1831588722 | Ginalen Adeva | Physical Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1609329192 | Cherie Holcombe | Skilled Nursing Facility | 1706 Rockvale Rd, Lancaster, PA 17602-1314 | 2016-08-01 |
| 1134582844 | Kmd Lp | Skilled Nursing Facility | 2017 W Avenue K13, Lancaster, CA 93536-4635 | 2016-03-30 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1417343435 | Royal Congregate Living Facility | Skilled Nursing Facility | 3100 Mildwood Ct, Lancaster, CA 93536-4740 | 2015-04-07 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| 1104226802 | Heart of The Valley Congregate Living | Skilled Nursing Facility | 44851 Mariposa Dr, Lancaster, CA 93536-8375 | 2014-08-29 |
| 1306245105 | Av Congregate Living | Skilled Nursing Facility | 4144 Vahan Ct, Lancaster, CA 93536-6838 | 2014-08-18 |
| Find all providers in LANCASTER | ||||
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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.