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GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA LLC NPI 1801836622


NPI Information

NPI: 1801836622
Provider Name: GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC

Former Legal Business Name: OCEANVIEW CONVALESCENT HOSPITAL

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1340 15TH ST
SANTA MONICA, CA
ZIP 90404
Phone: (310) 451-9706
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GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC is a skilled nursing facility in Santa Monica, CA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC NPI is 1801836622. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Oceanview Convalescent Hospital.

The provider's business location address is:

1340 15TH ST
SANTA MONICA, CA
ZIP 90404-802
Phone: (310) 451-9706
Fax: (310) 451-0369

The provider's authorized official is Dov Goldner .
The authorized official title is President and has the following contact phone number (323) 610-3655.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 6/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility910000016CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19132324/8371735MEDICARE UPINCALIFORNIA
2LTC70153FOTHERCALIFORNIAMEDICAL SUB-ACUTE
3LTC06334GOTHERCALIFORNIAMEDICAL SNF
4056334MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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