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CHAPMAN CONVALESCENT HOSPITAL NPI 1295772531


NPI Profile

NPI: 1295772531
Provider Name: CHAPMAN CONVALESCENT HOSPITAL
Classification:Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 05D0575693

Address:
4301 CAROLINE CT
RIVERSIDE, CA
ZIP 92506
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Phone: (951) 683-7111

CHAPMAN CONVALESCENT HOSPITAL is a nursing facility intermediate care facility in Riverside, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. CHAPMAN CONVALESCENT HOSPITAL NPI is 1295772531. The provider is registered as an organization entity type.

The provider's business location address is:

4301 CAROLINE CT
RIVERSIDE, CA
ZIP 92506-902
Phone: (951) 683-7111
Fax: (951) 683-6826

The provider's authorized official is Raymond Nelson Beeman .
The authorized official title is President and has the following contact phone number (951) 683-7111.

The CLIA number assigned to this NPI record is 05D0575693 - skilled nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/29/2013.


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
1313M00000XNursing Facility/Intermediate Care Facility250000124CALIFORNIAYes

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
1051643MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2555331MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
3ZZT05584FMEDICAIDCALIFORNIA
4HPC01643FMEDICAIDCALIFORNIA

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: 9/12/2021

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