Organization Active NPI

Hemet Valley Medical Center Subacute Unit

  • Custodial Care Facility
  • Hemet, CA
National Provider Identifier
1912094418
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
HEMET VALLEY MEDICAL CENTER SUBACUTE UNIT
Practice address
1117 E Devonshire Ave
Hemet, CA 92543
Phone
(951) 652-2811
Fax
(951) 925-6323
NPI assigned
Oct 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Michael M Garko, CPA
Title
Cfo Interim Ceo
Phone
(951) 766-6472

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X CA Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543

Mailing address

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

Other identifiers 1

IdentifierTypeStateIssuer
LTC70082FOtherCAMEDICAL

Other names 1

  • A California Local Healthcare District Other name

National Provider Directory

National Provider Directory
Tax ID family
A California Local Healthcare District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912094418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-2811",
            "fax_number": "951-925-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-2811",
            "fax_number": "951-925-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET VALLEY MEDICAL CENTER SUBACUTE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GARKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO INTERIM CEO",
        "authorized_official_telephone_number": "951-766-6472",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "LTC70082F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A California Local Healthcare District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.