Quality Long-Term Care Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

ZZT06382L Issued in CA

Legal business name

QUALITY LONG-TERM CARE INC.

Doing business as

Pineridge Care Center

Practice address

14122 Hubbard St
Sylmar, CA 91342-4712

Phone

(818) 361-0191

Fax

(818) 387-1192

NPI assigned

Oct 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Pavlow, ADMINISTRATOR OWNER

Title

Administrator Owner

Phone

(818) 361-0191

Specialties & licenses 1

Addresses

Other names 1

• Pineridge Care Center Doing business as

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205826906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14122 HUBBARD ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424712",
            "telephone_number": "818-361-0191",
            "fax_number": "818-387-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14122 HUBBARD ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424712",
            "telephone_number": "818-361-0191",
            "fax_number": "818-387-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LONG-TERM CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVLOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "818-361-0191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZT06382L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jang Price, M.D.
• Laura Priess, PHYSICAL THERAPIST
• Stacy Howard Prindle, R.N.
• Kathrina Soriano Puno
• Emaan Qazi
• Trina Quang
• Cyrene Dungca Quiambao, R.N.
• Alan Elwood Quillian, M.D. M.S.
• Meyson Quintanilla
• Debbie D Quinteros

• Skilled Nursing Facility in Sylmar, CA
• Providers in Sylmar, 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.