The Palmcrest Grand Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000130 Issued in CA

Legal business name

THE PALMCREST GRAND CARE CENTER, INC.

Doing business as

The Palmcrest Grand Care Center, Inc.

Practice address

3501 Cedar Ave
Long Beach, CA 90807-3809

Phone

(562) 595-1731

Fax

(562) 426-1099

NPI assigned

Oct 2, 2006

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vicki P. Rollins, R.N.

Title

Vice-President

Phone

(562) 595-1731

Specialties & licenses 1

Addresses

Other names 1

• The Palmcrest Grand Care Center, Inc. Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1710070370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073809",
            "telephone_number": "562-595-1731",
            "fax_number": "562-426-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073809",
            "telephone_number": "562-595-1731",
            "fax_number": "562-426-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALMCREST GRAND CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "562-595-1731",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palmcrest Grand Care Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, 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 May 3, 2010; 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.