Ramona Manor Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000190 Issued in CA

Legal business name

RAMONA MANOR CONVALESCENT HOSPITAL

Practice address

485 W Johnston Ave
Hemet, CA 92543-7012

Phone

(951) 652-0011

Fax

(951) 658-1457

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By 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

Mr. Mark Miller

Title

Administrator

Phone

(951) 652-0011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1619294899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 W JOHNSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437012",
            "telephone_number": "951-652-0011",
            "fax_number": "951-658-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W JOHNSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437012",
            "telephone_number": "951-652-0011",
            "fax_number": "951-658-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA MANOR CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-652-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johana Edith Ramirez
• Margarita Ramirez
• Mark A Ramirez, MD
• Victoria Ramirez
• Ramona Community Services Corp (Ramona VNA & Hospice)
• Ramona Rehabilitation and Post Acute Care, Inc.
• Heidy Ramos
• Mildred Ramos, M.D.
• Bradley Cameron Randall
• Michael Anthony Randazzo, MD

• Skilled Nursing Facility in Hemet, CA
• Providers in Hemet, 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 Apr 27, 2010; 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.