San Francisco Ladies Protection and Relief Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220000034 Issued in CA

Legal business name

SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY

Doing business as

Heritage on the Marina

Practice address

3400 Laguna St
San Francisco, CA 94123-2271

Phone

(415) 202-0300

Fax

(415) 292-7080

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ken D Donnelly

Title

Ceo

Phone

(415) 202-0343

Specialties & licenses 1

Addresses

Other names 1

• Heritage on the Marina Doing business as

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1396964722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LAGUNA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232271",
            "telephone_number": "415-202-0300",
            "fax_number": "415-292-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LAGUNA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232271",
            "telephone_number": "415-202-0300",
            "fax_number": "415-292-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-202-0343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage on the Marina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Francisco, CA
• Providers in San Francisco, 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 Apr 7, 2016; 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.