Organization Active NPI

HCM Watsonville Convalescent Hospital West, Inc.

  • Skilled Nursing Facility
  • Watsonville, CA
National Provider Identifier
1669584496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HCM WATSONVILLE CONVALESCENT HOSPITAL WEST, INC.
Practice address
525 Auto Center Dr
Watsonville, CA 95076-3745
Phone
(831) 724-7505
Fax
(831) 724-4274
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

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

Addresses

Primary practice location

525 Auto Center Dr
Watsonville, CA 95076-3745

Mailing address

632 E Yosemite Ave
Madera, CA 93638-3343
Phone (559) 673-5149

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05959JMedicaidCA

Other names 1

  • Watsonville Nursing and Rehabilitation Center WEST 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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669584496",
    "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": "525 AUTO CENTER DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763745",
            "telephone_number": "831-724-7505",
            "fax_number": "831-724-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCM WATSONVILLE CONVALESCENT HOSPITAL WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "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": "ZZR05959J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watsonville Nursing and Rehabilitation Center WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • 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.