Organization Active NPI

Raycott Healthcare Management Group LLC

  • Skilled Nursing Facility
  • Santa Paula, CA
National Provider Identifier
1366548356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RAYCOTT HEALTHCARE MANAGEMENT GROUP LLC
Practice address
220 W Main St
Santa Paula, CA 93060-3247
Phone
(805) 525-6621
Fax
(805) 933-9182
NPI assigned
Sep 16, 2006
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
Scott A Schultz
Title
Director, Member/Manager
Phone
(805) 525-6621

Specialties & licenses 1

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

Addresses

Primary practice location

220 W Main St
Santa Paula, CA 93060-3247

Mailing address

220 W Main St
Santa Paula, CA 93060-3247
Phone (805) 525-6621

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05603KMedicaidCA

Other names 1

  • Santa Paula Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366548356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603247",
            "telephone_number": "805-525-6621",
            "fax_number": "805-933-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603247",
            "telephone_number": "805-525-6621",
            "fax_number": "805-933-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYCOTT HEALTHCARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, MEMBER/MANAGER",
        "authorized_official_telephone_number": "805-525-6621"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05603K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Paula Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Paula, 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.