Medical Hill Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000110 Issued in CA

Legal business name

MEDICAL HILL REHAB CENTER, LLC

Doing business as

Kindred Nursing and Rehabilitation-Medical Hill

Practice address

475 29TH St
Oakland, CA 94609-3510

Phone

(510) 832-3222

Fax

(510) 832-5617

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Nursing and Rehabilitation-Medical Hill Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1083634893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S. 4TH STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 29TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093510",
            "telephone_number": "510-832-3222",
            "fax_number": "510-832-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HILL REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55254J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nursing and Rehabilitation-Medical Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Medina
• Ana Medina, LCSW
• Angelica Medina
• Anna Marie Perez Medina

• Skilled Nursing Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.