Organization Active NPI

Santa Clarita Convalescent

Doing business as Santa Clarita Convalescent Hospital

  • Skilled Nursing Facility
  • Newhall, CA
National Provider Identifier
1154389872
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTA CLARITA CONVALESCENT
Doing business as
Santa Clarita Convalescent Hospital
Practice address
23801 Newhall Ave
Newhall, CA 91321-3126
Phone
(661) 259-3660
Fax
(661) 255-3709
NPI assigned
May 2, 2006
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Steven R. Pavlow
Title
President
Phone
(702) 893-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

23801 Newhall Ave
Newhall, CA 91321-3126

Mailing address

5600 Spring Mountain Rd
103
Las Vegas, NV 89146-8821
Phone (702) 893-8962

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05728JMedicaidCA

Other names 1

  • Santa Clarita Convalescent Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

5600 Spring Mountain Rd
Ste 103
Las Vegas, NV 89146

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1154389872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD",
            "address_2": "103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468821",
            "telephone_number": "702-893-8962",
            "fax_number": "702-893-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 NEWHALL AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913213126",
            "telephone_number": "661-259-3660",
            "fax_number": "661-255-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA CONVALESCENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "PAVLOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-893-8962"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05728J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Clarita Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.