Orangetree Convalescent Hospital, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000214 Issued in CA

Legal business name

ORANGETREE CONVALESCENT HOSPITAL, LLC

Practice address

4000 Harrison St
Riverside, CA 92503-3514

Phone

(951) 785-6060

Fax

(951) 785-6710

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Elizabeth Plott Tyler, J.D.

Title

Vice President of Operations

Phone

(323) 655-6960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1104827898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 WILSHIRE BLVD",
            "address_2": "SUITE 1925",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364201",
            "telephone_number": "323-655-6960",
            "fax_number": "323-655-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HARRISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033514",
            "telephone_number": "951-785-6060",
            "fax_number": "951-785-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGETREE CONVALESCENT HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "PLOTT TYLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "323-655-6960",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18680I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alonta Orange
• Orangecrest Medical Group, Inc.
• Norma Lissette Orantes, L.V.N
• Ana Gabasan Orantia, PA-C
• Ashley Mae Orcutt
• Andrea Nicole Ordaz
• Brissa Ordaz, NONE

• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, 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 Oct 9, 2013; 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.