HCM Susanville Convalescent Hospital, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HCM SUSANVILLE CONVALESCENT HOSPITAL, INC.

Doing business as

Susanville Nursing and Rehabilitation Center

Practice address

2005 River St
Susanville, CA 96130-4524

Phone

(530) 257-5341

Fax

(530) 257-8150

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arden Bennett

Title

Ceo

Phone

(559) 673-5149

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susanville Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1629180484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383343",
            "telephone_number": "559-673-5149",
            "fax_number": "559-673-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 RIVER ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304524",
            "telephone_number": "530-257-5341",
            "fax_number": "530-257-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCM SUSANVILLE CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ARDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-673-5149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06231J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susanville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter C Harris
• Christine Lorentzen Harrison, RN
• Anita Mae Harsh Jr.
• Sariah Hathaway
• Lauren Haugh, PHARMD
• Hannah Marie Heimbigner, ASW
• Jane Marie Henneman Low
• Willard Burdette Henry, PHARM.D.
• Constance A Herman, FNP
• Craig Allen Herron, MS

• Skilled Nursing Facility in Susanville, CA
• Providers in Susanville, 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 1, 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.