PACIFICA SL GROVE STREET LP – NPI #1184124513
Skilled Nursing Facility

(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.

PACIFICA SL GROVE STREET LP is a skilled nursing facility (SNF) located in HEALDSBURG, CA. NPPES has assigned the NPI number 1184124513 to PACIFICA SL GROVE STREET LP on February 12, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 6 years ago on Feb 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFICA SL GROVE STREET LP below.

NPI Profile for
PACIFICA SL GROVE STREET LP

NPI Number
1184124513
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFICA SL GROVE STREET LP
Primary location
725 GROVE STREET
HEALDSBURG, CA 95448
Phone: (707) 433-4877 Fax: (707) 487-5974
Mailing address
1775 HANCOCK STREET
SUITE 200
SAN DIEGO, CA 92110
Phone: (619) 296-9000 Fax: (619) 296-9090
Organization Subpart
No
Authorized Official
MARLENE NELSON
DIR OF QUALITY ASSURANCE AND RISK M
Phone: (619) 296-9000
Updated
Certification Date
Feb 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
311500000X
- Alzheimer Center (Dementia Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.