Parkway Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000053 Issued in CA

Legal business name

PARKWAY MANOR LLC

Doing business as

Parkway Hills Nursing & Rehab

Practice address

7760 Parkway Dr
La Mesa, CA 91942-2028

Phone

(619) 469-0124

Fax

(619) 469-6401

NPI assigned

Nov 22, 2006

Last updated

Feb 19, 2009By 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

Aaron Chesley

Title

Administrator

Phone

(619) 469-0124

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARKWAY HILLS NURSING & REHAB Doing business as

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1598830556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422028",
            "telephone_number": "619-469-0124",
            "fax_number": "619-469-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422028",
            "telephone_number": "619-469-0124",
            "fax_number": "619-469-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "CHESLEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-469-0124"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05078I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKWAY HILLS NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jin Hee Park, L.AC.
• Joseph Park, PT
• Michelle C Park
• Risa Park, DO
• Maureen Parker
• Parkway Operations, LLC (Parkway Hills Nursing & Rehabilitation)
• Melissa Parr
• Partners Urgent Care-Grossmont
• Partners Urgent Care-Grossmont, Inc.
• Ellen Pastrano, M.D.

• Skilled Nursing Facility in La Mesa, CA
• Providers in La Mesa, 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 Feb 19, 2009; 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.