Organization Active NPI

Tule River Post Acute LLC

  • Skilled Nursing Facility
  • Porterville, CA
National Provider Identifier
1275197808
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TULE RIVER POST ACUTE LLC
Practice address
1100 W Morton Ave
Porterville, CA 93257-1947
Phone
(559) 782-1509
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSEMBLY HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Crystal Solorzano
Title
Manager
Phone
(626) 658-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1100 W Morton Ave
Porterville, CA 93257-1947

Mailing address

107 W Lemon Ave
Monrovia, CA 91016-2809
Phone (626) 658-7344

Other identifiers 3

IdentifierTypeStateIssuer
1215001763MedicaidCA
555658OtherCAMEDICARE
LTC55658GMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1275197808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "626-658-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MORTON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571947",
            "telephone_number": "559-782-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULE RIVER POST ACUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSEMBLY HEALTH GROUP LLC",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-658-7344"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215001763",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "555658",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55658G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.