Organization Active NPI

Geri-Care V, LLC

  • Skilled Nursing Facility
  • Lancaster, CA
National Provider Identifier
1780665356
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000003 Issued in CA
Legal business name
GERI-CARE V, LLC
Practice address
44445 15TH St W
Lancaster, CA 93534-2801
Phone
(661) 948-7501
Fax
(661) 949-5498
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Mrs. Maria Donna B Santos, NHA
Title
Administrator
Phone
(661) 948-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 920000003 CA Primary

Addresses

Primary practice location

44445 15TH St W
Lancaster, CA 93534-2801

Mailing address

44445 15TH St W
Lancaster, CA 93534-2801
Phone (661) 948-7501

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06039MedicaidCA

Other names 1

  • Wellsprings Post Acute Center 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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1780665356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44445 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342801",
            "telephone_number": "661-948-7501",
            "fax_number": "661-949-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44445 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342801",
            "telephone_number": "661-948-7501",
            "fax_number": "661-949-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI-CARE V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARIA DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-948-7501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsprings Post Acute Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.