Active NPI
Aew/Careage-Operations, LLC.
- Skilled Nursing Facility
- Bakersfield, CA
National Provider Identifier
1316936776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 120000555
- Legal business name
- AEW/CAREAGE-OPERATIONS, LLC.
- Practice address
- 350 Calloway Dr
Building 'C:
Bakersfield, CA 93312-2974 - Phone
- (661) 587-0182
- Fax
- (661) 587-8053
- NPI assigned
- Oct 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthue T Heitlauf
- Title
- Ceo
- Phone
- (253) 853-2902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 120000555 | CA | Primary |
Addresses
Primary practice location
350 Calloway Dr
Building 'C:
Bakersfield, CA 93312-2974
Mailing address
350 Calloway Dr
Building 'C:
Bakersfield, CA 93312-2974
Phone (661) 587-0182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55771F | Medicaid | CA |
Other names 1
- Glenwood Gardens Skilled Nursing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1316936776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CALLOWAY DR",
"address_2": "BUILDING 'C:",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122974",
"telephone_number": "661-587-0182",
"fax_number": "661-587-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CALLOWAY DR",
"address_2": "BUILDING 'C:",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122974",
"telephone_number": "661-587-0182",
"fax_number": "661-587-8053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AEW/CAREAGE-OPERATIONS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "HEITLAUF",
"authorized_official_first_name": "ARTHUE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-853-2902"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "120000555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55771F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Glenwood Gardens Skilled Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.