PACIFICA SL GROVE STREET LP
Alzheimer Center (Dementia Center)

Address: 725 Grove Street, Healdsburg, CA 95448

PACIFICA SL GROVE STREET LP (NPI# 1184124513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184124513
Entity Type Organization
Organization Name PACIFICA SL GROVE STREET LP
Practice Address 725 Grove Street
Healdsburg
CA 95448
Practice Telephone 7074334877
Practice Fax Number 7074875974
Mailing Address 1775 Hancock Street
Suite 200
San Diego
CA 92110
Mailing Telephone 6192969000
Mailing Fax Number 6192969090
Certification Date 2020-02-05
Enumeration Date 2018-02-12
Last Update Date 2020-02-05
Authorized Official Telephone 6192969000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Office Location

Street Address 725 GROVE STREET
City HEALDSBURG
State CA
Zip Code 95448

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1891342002 Linda Lazzar Friend Marriage & Family Therapist 2800 Hilltop Rd., Healdsburg, CA 95448 2019-08-22
1073049284 Jennifer Gnass Counselor · Addiction (Substance Use Disorder) 536 March Ave, Healdsburg, CA 95448 2017-05-08
1538523105 Zormeier Cosmetic Surgery & Longevity Center Plastic Surgery · Plastic Surgery Within the Head and Neck 431 East Street Ste B, Healdsburg, CA 95448 2016-04-11
1619180700 Sharron Levinger Rudell Marriage & Family Therapist 459 Hudson St, Healdsburg, CA 95448 2007-05-07
1932224490 Stanley Winstonj Jacobs Specialist 145 Foss Creek Cir., Healdsburg, CA 95448 2007-03-20
1265508790 Stanley D Davis Psychiatry & Neurology · Psychiatry 451 A March Ave, Healdsburg, CA 95448 2006-11-27
1306910559 Christine Naber Clinical Neuropsychologist 455 March Ave Ste A, Healdsburg, CA 95448 2006-11-20
1700978947 Marc Alexander Dentist · General Practice 125 Grant Street, Healdsburg, CA 95448 2006-09-28
1114028040 Marc D. Paris Emergency Medicine 1375 University Avenue, Healdsburg District Hospital, Healdsburg, CA 95448 2006-09-25
1164450102 Paul Rudolph Miller Ophthalmology 214 Matheson St, Healdsburg, CA 95448 2006-06-29
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Taxonomy Information

Taxonomy Code 311500000X
Grouping Nursing & Custodial Care Facilities
Classification Alzheimer Center (Dementia Center)

Taxonomy Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093319022 Mh Claremont Operating, LLC 120 W San Jose Ave, Claremont, CA 91711-5294 2020-11-30
1992304729 Pacifica Riverside Sl Lp 6280 Clay St, Riverside, CA 92509-6005 2020-10-22
1255930095 Pacifica Senior Living Vacaville LLC 431 Nut Tree Rd, Vacaville, CA 95687-3508 2020-10-22
1104425925 Pacifica Newport Mesa LLC 2891 Bear St, Costa Mesa, CA 92626-4306 2020-10-22
1689273401 St Pauls Modesto Lp 2325 St Pauls Way, Modesto, CA 95355-3309 2020-10-22
1235738071 Pacifica Valley Crest Lp 18524 Corwin Rd, Apple Valley, CA 92307-2302 2020-10-22
1356980494 Memory Spa, LLC 1950 Sunny Crest Dr Ste 1400, Fullerton, CA 92835-3642 2020-01-06
1851940308 Vista Prado Inc 105 Power Dr, Vallejo, CA 94589-2529 2019-09-07
1821641507 Ktre1, LLC 3219 Canon St, San Diego, CA 92106-2512 2019-07-22
1497229090 Ktre3, LLC 7971 Culowee St, La Mesa, CA 91942-5509 2019-01-16
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Competitor

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City HEALDSBURG
Zip Code 95448

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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