Plott Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PLOTT NURSING HOME, LLC

Practice address

800 E 5TH St
Ontario, CA 91764-2432

Phone

(909) 984-8629

Fax

(909) 984-1182

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Elizabeth Plott Tyler, J.D.

Title

Vice President of Operations

Phone

(323) 655-6960

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649271339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 WILSHIRE BLVD",
            "address_2": "STE 1925",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364201",
            "telephone_number": "323-655-6960",
            "fax_number": "323-655-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 5TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642432",
            "telephone_number": "909-984-8629",
            "fax_number": "909-984-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOTT NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLOTT TYLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "323-655-6960",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05619I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fritza Plasencia
• Jessica Plasencia
• Platinum Care Investment Inc.
• Pliev Enterprises
• Plott Care Services, Inc.
• Plumeria Homes
• Tabitha Plunkett
• Viviana Olivia Poli
• Allyson Pollard-Stubbs
• Amanda Pomerenke

• Skilled Nursing Facility in Ontario, CA
• Providers in Ontario, 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 Aug 22, 2020; 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.