Mek Arden, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000009 Issued in CA

Legal business name

MEK ARDEN, LLC

Doing business as

Arden Rehabilitation and Healthcare Center

Practice address

3400 Alta Arden Expy
Sacramento, CA 95825-2103

Phone

(916) 481-5500

Fax

(916) 481-9845

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Fernan Pedraja

Title

Financial Controller

Phone

(818) 247-6200

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Arden Rehabilitation and Healthcare Center Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1275539454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S. GLENDALE AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ALTA ARDEN EXPY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252103",
            "telephone_number": "916-481-5500",
            "fax_number": "916-481-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEK ARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "PEDRAJA",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000009",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05855J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0704663",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME POS NUMBER",
            "identifier": "4279830001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arden Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosanoemi Alvarez Mejia
• Shelsea Mejia
• Siana Marie Mejia
• Alyssa R Mejorado, ASW, MSW
• Hector Mejorado
• Mek Norwood Pines LLC (Norwood Pines Alzheimers Care Center)
• Hasan Mekki
• Roxann Elizabeth Mekus, RN
• Eman M Meky
• David Raymond Melanson

• Skilled Nursing Facility in Sacramento, CA
• Providers in Sacramento, 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 Apr 26, 2016; 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.