Organization Active NPI

Ave Maria Convalescent Hospital

  • Skilled Nursing Facility
  • Monterey, CA
National Provider Identifier
1215296652
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
070000009 Issued in CA
Legal business name
AVE MARIA CONVALESCENT HOSPITAL
Practice address
1249 Josselyn Canyon Rd
Monterey, CA 93940-5265
Phone
(831) 373-1216
Fax
(831) 242-8980
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
John W Milford, NHA
Title
SNF Administrator
Phone
(831) 373-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 070000009 CA Primary

Addresses

Primary practice location

1249 Josselyn Canyon Rd
Monterey, CA 93940-5265

Mailing address

1249 Josselyn Canyon Rd
Monterey, CA 93940-5265
Phone (831) 373-1216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1215296652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 JOSSELYN CANYON RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405265",
            "telephone_number": "831-373-1216",
            "fax_number": "831-242-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 JOSSELYN CANYON RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405265",
            "telephone_number": "831-373-1216",
            "fax_number": "831-242-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE MARIA CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "MILFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SNF ADMINISTRATOR",
        "authorized_official_telephone_number": "831-373-1216",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.