Westgate Gardens Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

120000574 Issued in CA

Legal business name

WESTGATE GARDENS CARE CENTER, INC.

Practice address

4525 W Tulare Ave
Visalia, CA 93277-1560

Phone

(559) 733-0901

Fax

(559) 733-8757

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.As reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westgate Gardens, Inc. Former legal business name

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1093714263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "STE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771560",
            "telephone_number": "559-733-0901",
            "fax_number": "559-733-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE GARDENS CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55208G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Gardens, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha West
• Julie Westbrook
• Kenneth Leroy Westbrook, M.D.
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• John Wettstein, CP
• Robert Wheater
• Nicole Marie Whisenant
• Emily Faye Lon White, LMFT
• Jeffery White

• Skilled Nursing Facility in Visalia, CA
• Providers in Visalia, 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 Jun 10, 2008; 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.