Organization Active NPI

Lifehouse Bakersfield Operations LLC

  • Skilled Nursing Facility
  • Bakersfield, CA
National Provider Identifier
1104008002
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in CA
Legal business name
LIFEHOUSE BAKERSFIELD OPERATIONS LLC
Practice address
730 34TH St
Bakersfield, CA 93301-2210
Phone
(661) 327-7687
NPI assigned
Dec 3, 2007
Organization subpart
Yes
Parent organization
LIFEHOUSE HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Mr. Tracy Clark
Title
Ceo
Phone
(310) 337-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PENDING CA Primary

Addresses

Primary practice location

730 34TH St
Bakersfield, CA 93301-2210

Mailing address

730 34TH St
Bakersfield, CA 93301-2210

Other names 2

  • Bakersfield Healthcare Center Doing business as
  • The Orchards Post-Acute Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0926725Bakersfield Healthcare Center730 34TH St, Bakersfield, CA 93301Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1104008002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012210",
            "telephone_number": "661-327-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE BAKERSFIELD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEHOUSE HEALTH SERVICES LLC",
        "enumeration_date": "2007-12-03",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-337-1929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakersfield Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Orchards Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.