Philmar Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000031 Issued in CA

Legal business name

PHILMAR CARE LLC

Practice address

12260 Foothill Blvd
Sylmar, CA 91342-6001

Phone

(818) 899-9545

Fax

(818) 890-2142

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Greenwell

Title

Chief Financial Officer

Phone

(909) 987-7735

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• San Fernando Post Acute Hospital Doing business as

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1659445203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 ORANGE WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353809",
            "telephone_number": "909-987-7735",
            "fax_number": "909-484-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426001",
            "telephone_number": "818-899-9545",
            "fax_number": "818-890-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILMAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-987-7735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55814F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70160F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Fernando Post Acute Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Pettibone, MD
• Annette Van Anh Pham, NP
• Phuong CHI T Pham, MD
• Steven Pham, DO
• Huy Phan
• Philmar Care, LLC
• Stace Phipps-Zacharia, RN, NP
• Oliver Bernard Piltch, MD
• Krystal Isabela Pineda
• Rosie Pinedo

• Skilled Nursing Facility in Sylmar, CA
• Providers in Sylmar, 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 19, 2015; 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.