Mt Rubidouxidence Opco, LLC
NPI 1497153878ActiveOrganization· Skilled Nursing Facility· Riverside, CA
Skilled Nursing Facility in Riverside, California, registered in NPPES in December 2014. The authorized official on file is John Mitchell, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1497153878 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2014 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 250000177 | CA |
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) |
|---|
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