NPIMap

Organization Active NPI

California Nevada Methodist Homes

  • Skilled Nursing Facility
  • Pacific Grove, CA
National Provider Identifier
1639324478
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550001102 Issued in CA
Legal business name
CALIFORNIA NEVADA METHODIST HOMES
Practice address
551 Gibson Ave
Pacific Grove, CA 93950-4330
Phone
(831) 657-5200
Fax
(831) 649-1695
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Robert Hubbard
Title
President
Phone
(510) 893-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550001102 CA Primary

Addresses

Primary practice location

551 Gibson Ave
Pacific Grove, CA 93950-4330

Mailing address

201 19TH St
Suite 100
Oakland, CA 94612-4117
Phone (510) 893-8989

Other names 1

  • Forest Hill Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1639324478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 19TH ST",
            "address_2": "SUITE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124117",
            "telephone_number": "510-893-8989",
            "fax_number": "510-893-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GIBSON AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504330",
            "telephone_number": "831-657-5200",
            "fax_number": "831-649-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEVADA METHODIST HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-893-8989"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550001102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.