Hacienda Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

120000579 Issued in CA

Legal business name

HACIENDA CARE CENTER, INC.

Practice address

301 W Putnam Ave
Porterville, CA 93257-3429

Phone

(559) 784-7375

Fax

(559) 784-4636

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Stephen Browne

Title

Administrator

Phone

(559) 784-7375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sierra Valley Rehabilitation Center Doing business as

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1376524843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573429",
            "telephone_number": "559-784-7375",
            "fax_number": "559-784-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573429",
            "telephone_number": "559-784-7375",
            "fax_number": "559-784-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-784-7375"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05568H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Valley Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guadalupe Angelina Neria MD a Professional Corporation
• Shashi Kant Gupta, MD
• Yolanda M Gurrola
• Arturo Guzman, M.D.
• Selena Marie Guzman
• Gevik Haghverdian, DO
• Ahmad Nabil Hakimi, MD, FACS
• Justine Hallas, NP
• Melissa Ann Halsey, FNP-C
• Donald Hamman

• Skilled Nursing Facility in Porterville, CA
• Providers in Porterville, 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 Dec 14, 2011; 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.