Arrowhead Home Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARROWHEAD HOME CONVALESCENT HOSPITAL

Practice address

4343 N Sierra Way
San Bernardino, CA 92407-3822

Phone

(909) 887-4731

Fax

(909) 886-8399

NPI assigned

Oct 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Don Popovich

Title

Administrator

Phone

(909) 886-4731

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447248075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073822",
            "telephone_number": "909-887-4731",
            "fax_number": "909-886-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073822",
            "telephone_number": "909-887-4731",
            "fax_number": "909-886-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD HOME CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPOVICH",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-886-4731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11304G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Arriola
• Mateo Solomon Arroliga, CRNA
• Arrowhead Community Service Inc (Arrowhead Senior Villas)
• Arrowhead Healthcare Advisors, LLC (HealthPact)
• Arrowhead Healthcare Center LLC
• Arrowhead Hospice Inc
• Destiny Arroyo
• Marco Antonio Arroyo Jr.
• Susana Arroyo
• Arshad Sial MD, Inc.

• Skilled Nursing Facility in San Bernardino, CA
• Providers in San Bernardino, 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 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.