Upland Convalescent Hospital Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UPLAND CONVALESCENT HOSPITAL INC.

Practice address

1221 E Arrow Hwy
Upland, CA 91786-4911

Phone

(909) 985-1903

Fax

(909) 985-4975

NPI assigned

Sep 18, 2005

Organization subpart

No

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

Authorized official

Name

James William Milton

Title

President

Phone

(909) 985-1903

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UPLAND REHABILITATION & CARE CENTER Doing business as

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750376554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864911",
            "telephone_number": "909-985-1903",
            "fax_number": "909-985-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864911",
            "telephone_number": "909-985-1903",
            "fax_number": "909-985-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND CONVALESCENT HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-985-1903"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05374H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPLAND REHABILITATION & CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Ukpong, MS
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• Skilled Nursing Facility in Upland, CA
• Providers in Upland, 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.