Organization Active NPI

Royal Convalescent Hospital Inc.

  • Skilled Nursing Facility
  • Brawley, CA
National Provider Identifier
1306827415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
ZZT05893G Issued in CA
Legal business name
ROYAL CONVALESCENT HOSPITAL INC.
Practice address
320 Cattle Call Dr
Brawley, CA 92227-3108
Phone
(760) 344-5431
Fax
(760) 344-8240
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred Friedman
Title
Administrator
Phone
(760) 344-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ZZT05893G CA Primary

Addresses

Primary practice location

320 Cattle Call Dr
Brawley, CA 92227-3108

Mailing address

320 Cattle Call Dr
Brawley, CA 92227-3108
Phone (760) 344-5431

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05893GMedicaidCA

National Provider Directory

National Provider Directory

Locations

320 Cattle Call Dr
Brawley, CA 92227
Phone (760) 344-5431

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306827415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CATTLE CALL DR",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273108",
            "telephone_number": "760-344-5431",
            "fax_number": "760-344-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CATTLE CALL DR",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273108",
            "telephone_number": "760-344-5431",
            "fax_number": "760-344-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CONVALESCENT HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-344-5431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZT05893G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05893G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • 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.