Organization Active NPI

S.F. Community Convalescent Hospital

  • Skilled Nursing Facility
  • San Francisco, CA
National Provider Identifier
1588658959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
S.F. COMMUNITY CONVALESCENT HOSPITAL
Practice address
2655 Bush St
San Francisco, CA 94115-3007
Phone
(415) 922-4141
Fax
(415) 922-2319
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jocelyn S. Carter
Title
Administrator
Phone
(415) 922-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

2655 Bush St
San Francisco, CA 94115-3007

Mailing address

2655 Bush St
San Francisco, CA 94115-3007
Phone (415) 922-4141

Other identifiers 1

IdentifierTypeStateIssuer
ZZR 55031MedicaidCA

National Provider Directory

National Provider Directory

Locations

2655 Bush St
San Francisco, CA 94115
Phone (415) 353-7598

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588658959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153007",
            "telephone_number": "415-922-4141",
            "fax_number": "415-922-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153007",
            "telephone_number": "415-922-4141",
            "fax_number": "415-922-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.F. COMMUNITY CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-922-4141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR 55031",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • 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.