Lone Tree Convalescent Hospital, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140000199 Issued in CA

Legal business name

LONE TREE CONVALESCENT HOSPITAL, INC.

Practice address

4001 Lone Tree Way
Antioch, CA 94509-6232

Phone

(925) 754-0470

Fax

(925) 754-9142

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phylene Sunga

Title

Administrator

Phone

(925) 383-4810

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lone Tree Convalescent Hospital Doing business as

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1871661967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096232",
            "telephone_number": "925-754-0470",
            "fax_number": "925-754-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096232",
            "telephone_number": "925-754-0470",
            "fax_number": "925-754-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "PHYLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-383-4810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06021H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheyenne Devon Lofthouse-Wolf
• Davante Logan
• Alexxis Lomack
• Michelle Lomax, PPS
• Michele Lomelino Valencia, O.D.
• Lone Tree Optometry, Inc.
• Lakita Denise Long, MS
• Longs Drug Stores California LLC
• Artiben Loomas
• Christian Looney

• Skilled Nursing Facility in Antioch, CA
• Providers in Antioch, 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 Nov 1, 2016; 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.