Ashley LTC Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

01-0000064 Issued in CA

Legal business name

ASHLEY LTC INC

Doing business as

santa rosa convalescent hospital

Practice address

446 Arrowood Dr
Santa Rosa, CA 95407-7503

Phone

(707) 528-2100

Fax

(707) 568-1209

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Frederick C Benson, JD

Title

Administrator

Phone

(707) 528-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• santa rosa convalescent hospital Doing business as

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1487641049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ARROWOOD DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077503",
            "telephone_number": "707-528-2100",
            "fax_number": "707-568-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 ARROWOOD DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077503",
            "telephone_number": "707-528-2100",
            "fax_number": "707-568-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-528-2100",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "01-0000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06259H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "santa rosa convalescent hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise B. Asghar, MD
• Mary Patricia Ashby-Ahearn, MD
• Jason Ashcraft
• Miranda Rose Ashe
• Spencer Asher
• Seth Ramin Ashraf, DPM
• Paris Parastow Ashrafi
• Asili Institute for Women'S Brain Health, Trauma & Recovery
• Vanessa Aspericueta, FNP
• Asrf, LLC

• Skilled Nursing Facility in Santa Rosa, CA
• Providers in Santa Rosa, 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 26, 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.