La Sierra Convalescent Hospital, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LA SIERRA CONVALESCENT HOSPITAL, INC.

Practice address

2424 M St
Merced, CA 95340-2808

Phone

(209) 723-4224

Fax

(209) 723-1142

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arden Bennett

Title

Ceo

Phone

(559) 673-5149

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Sierra Care Center Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164534012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383343",
            "telephone_number": "559-673-5149",
            "fax_number": "559-673-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402808",
            "telephone_number": "209-723-4224",
            "fax_number": "209-723-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SIERRA CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ARDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-673-5149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05271F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Sierra Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Merced, CA
• Providers in Merced, 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 Aug 22, 2020; 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.