McKinley Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000171 Issued in CA

Legal business name

MCKINLEY HEALTH CARE CENTER, INC.

Practice address

3700 H St
Sacramento, CA 95816-4611

Phone

(916) 452-3592

Fax

(916) 451-7854

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sacramento Convalescent Hospital, Inc Former legal business name

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1609875921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 H ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164611",
            "telephone_number": "916-452-3592",
            "fax_number": "916-451-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR55122J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Convalescent Hospital, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• I'Torriona T McKenzie
• Jana McKenzie, RBT
• Jasmine Marie McKenzie
• Patrick Douglas McKenzie, RN, BSN, MSN, FNP-C
• Katelyn McKey, PT, DPT
• Ashley Letrice McKinley, B.S.
• Megan McKinley, RD
• Shanell Deniqua McKinley
• Cherokee McKinney, OTR/L
• Connor Reece McKinney, DO

• Skilled Nursing Facility in Sacramento, CA
• Providers in Sacramento, 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 Jun 10, 2008; 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.