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MEK NORWOOD PINES LLC NPI 1801892096


NPI Information

NPI: 1801892096
Provider Name: MEK NORWOOD PINES LLC

Doing Business As: NORWOOD PINES ALZHEIMERS CARE CENTER

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 05D0988752

Address:
500 JESSIE AVENUE
SACRAMENTO, CA
ZIP 95838
Phone: (916) 922-7177
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MEK NORWOOD PINES LLC is an alzheimer center dementia center in Sacramento, CA. The provider is 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. MEK NORWOOD PINES LLC NPI is 1801892096. The provider is registered as an organization entity type.
The provider Is Doing Business As Norwood Pines Alzheimers Care Center.

The provider's business location address is:

500 JESSIE AVENUE
SACRAMENTO, CA
ZIP 95838-609
Phone: (916) 922-7177
Fax: (916) 922-5782

The provider's authorized official is Fernan Pedraja .
The authorized official title is Financial Controller and has the following contact phone number (818) 247-6200.

The CLIA number assigned to this NPI record is 05D0988752 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 4/11/2016.


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
1311500000XAlzheimer Center (Dementia Center)030000010CALIFORNIANo
2311500000XAlzheimer Center (Dementia Center)CALIFORNIAYes

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
1ZZR06045KMEDICAIDCALIFORNIA
2555400MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
305D0988752OTHERCALIFORNIACLIA ID NUMBER
44311700001MEDICARE NSCCALIFORNIA

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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