Californian Magnolia Convalescent

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000170 Issued in CA

Legal business name

CALIFORNIAN MAGNOLIA CONVALESCENT

Doing business as

Magnolia Rehabilitation and Nursing Center

Practice address

8133 Magnolia Ave
Riverside, CA 92504-3409

Phone

(951) 688-4321

Fax

(951) 352-2768

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Sue Richards, LIC NURSING HOME ADM

Title

Adminstrator

Phone

(951) 688-4321

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Magnolia Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1518942143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043409",
            "telephone_number": "951-688-4321",
            "fax_number": "951-352-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043409",
            "telephone_number": "951-688-4321",
            "fax_number": "951-352-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIAN MAGNOLIA CONVALESCENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "951-688-4321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIC NURSING HOME ADM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000170",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": "250000170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05474F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Manor Guest Home
• California Mental Health
• California Neurointerventional Surgeons, Inc
• California Room and Board Coalition
• California Total Joints Inc
• Californian Magnolia Convalescent Hospital Inc.
• Hannah Israel Calixte
• Lauren Calkins
• Mikayla Call
• Austin Callahan, PT

• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, 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 1, 2013; 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.