Mayflower Gardens Health Facilities Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000048 Issued in CA

Legal business name

MAYFLOWER GARDENS HEALTH FACILITIES INC

Practice address

6705 Columbia Way
Lancaster, CA 93536-1233

Phone

(661) 943-3212

Fax

(661) 943-1303

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Stuart Hartman

Title

V.P. of Operations

Phone

(562) 257-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAYFLOWER GARDENS CONVALESCENT HOSPITAL Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1124023403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 COLUMBIA WAY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361233",
            "telephone_number": "661-943-3212",
            "fax_number": "661-943-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 COLUMBIA WAY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361233",
            "telephone_number": "661-943-3212",
            "fax_number": "661-943-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER GARDENS HEALTH FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "562-257-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06286G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYFLOWER GARDENS CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tadra A Matthews
• Crystal Mattson
• Maxicare Senior Home, LLC
• Maximum Palliative Care and Hospice, Inc.
• Berna Lee Mayer, RN, MSN, CFNP
• Diyla Maymoun
• Jaiden Mayo
• Corina Mayorga
• Chris Mays, C20591214
• Matthew Mazas

• Skilled Nursing Facility in Lancaster, CA
• Providers in Lancaster, 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 Mar 20, 2014; 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.