Chapman Convalescent Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

250000124 Issued in CA

Legal business name

CHAPMAN CONVALESCENT HOSPITAL

Practice address

4301 Caroline CT
Riverside, CA 92506-2902

Phone

(951) 683-7111

Fax

(951) 683-6826

NPI assigned

Jun 2, 2006

Last updated

Aug 29, 2013By 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. Raymond Nelson Beeman

Title

President

Phone

(951) 683-7111

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1295772531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 CAROLINE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062902",
            "telephone_number": "951-683-7111",
            "fax_number": "951-683-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CAROLINE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062902",
            "telephone_number": "951-683-7111",
            "fax_number": "951-683-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPMAN CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-683-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "250000124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01643F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05584F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alivia Channon
• Catherine Tracy Chao, NP
• Cathy Lynn Chao, PMHNP
• Justin Chao, RN
• Khontheary Yen Chap, M.D
• Chapman Hospice
• Hannah Marie Chapman
• John D Chapman, D.C.
• Valerie H Chapman
• Charles a Jansen, OD, Inc

• Nursing Facility/Intermediate Care Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.