551 Gibson Ave Snf LLC
NPI 1477298107ActiveOrganization· Skilled Nursing Facility· Pacific Grove, CA
Skilled Nursing Facility in Pacific Grove, California, registered in NPPES in April 2022. The authorized official on file is Richard Martin, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1477298107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2022 |
| Last updated in NPPES | Apr 27, 2022 |
| Certified by provider | Apr 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
Other Skilled Nursing Facility providers in Pacific Grove
- 1881152031
- 1639324478
- 1225108749
- 1801569306
- 1275614448