Jess Ranch Healthcare LLC
Skilled Nursing Facility in Apple Valley, CA. Organization (NPI-2).
NPI number1366091233
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1366091233
- Entity type
- Organization (NPI-2)
- Legal business name
- Jess Ranch Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2019
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Apple Valley Care Center (Doing Business As)
Practice location
11959 Apple Valley RdApple Valley, CA 92308-7507
Phone 917-842-8361
Mailing address
6442 Coldwater Canyon Ave Ste 100North Hollywood, CA 91606-1191
Phone 917-842-8361
Authorized official
Chonoch Gewirtz
Cfo
9178428361
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Skilled Nursing Facility providers in Apple Valley · All 2,027 providers in Apple Valley
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