CARLSBAD MEDICAL CENTER LLC (NPI# 1972556975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556975 |
| Entity Type | Organization |
| Organization Name | CARLSBAD MEDICAL CENTER LLC |
| Other Organization Name | CARLSBAD MEDICAL CENTER |
| Practice Address |
2430 W Pierce St Carlsbad NM 88220-3553 |
| Mailing Address |
Po Box 847505 Dallas TX 75284-7505 |
| Practice Telephone | 5058874100 |
| Practice Fax Number | 5058874256 |
| Mailing Telephone | 5058874100 |
| Mailing Fax Number | 5058874256 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARLSBAD MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5227 | NM | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carlsbad Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1114949781 | Carlsbad Medical Center LLC | Rehabilitation Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-07-24 |
| 1790722346 | Carlsbad Medical Center LLC | General Acute Care Hospital | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-06-01 |
| 1518904168 | Carlsbad Medical Center LLC | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-06-01 |
| Street Address |
2430 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723494 | Daniel Forest Taylor | Family Medicine | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2005-07-11 |
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1578027710 | Cassandra Groves | Registered Nurse | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2019-01-22 |
| 1578046181 | Cally Vetter | Dietitian, Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-09-10 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1467956862 | Courtney Allison Wittkower | Physical Therapist | 2430 W Pierce St, Carlsbad, NM 88220-3597 | 2018-03-20 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1053827832 | Cameron Scott Peterson | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-12-15 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| 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 |
|---|---|---|---|---|
| 1205020823 | Las Villas De Carlsbad Operations LLC | Skilled Nursing Facility | 1088 Laguna Dr, Carlsbad, CA 92008-1858 | 2007-08-28 |
| 1265518872 | Front Porch Communities and Services | Skilled Nursing Facility | 2855 Carlsbad Blvd, Carlsbad, CA 92008-2902 | 2006-10-27 |
| 1194820712 | Villas De Carlsbad Ltd | Skilled Nursing Facility | 1094 Laguna Dr, Carlsbad, CA 92008-1858 | 2006-09-14 |
| 1659336436 | Aureus Acquisition I, LLC | Skilled Nursing Facility | 3140 El Camino Real, Carlsbad, CA 92008-2108 | 2006-04-18 |
| 1134102809 | Glenbrook Hc LLC | Skilled Nursing Facility | 1950 Calle Barcelona, Carlsbad, CA 92009-8401 | 2005-11-27 |
| 1184019614 | Calimesa Operations LLC | Skilled Nursing Facility | 701 Palomar Airport Rd, Ste. 300, Carlsbad, CA 92011-1027 | 2015-04-01 |
| 1780093690 | S-h Opco Carlsbad, LLC | Skilled Nursing Facility | 3140 El Camino Real, Carlsbad, CA 92008-2108 | 2014-08-05 |
| 1003221300 | S-h Opco Carlsbad, LLC | Skilled Nursing Facility | 3140 El Camino Real, Carlsbad, CA 92008-2108 | 2014-06-25 |
| 1972743086 | Marlo R Gold | Skilled Nursing Facility | 3140 El Camino Real, Carlsbad, CA 92008-2108 | 2009-03-02 |
| 1144470105 | Emericare Inc | Skilled Nursing Facility | 3140 El Camino Real, Carlsbad, CA 92008-2108 | 2008-09-26 |
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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.