MT. RUBIDOUX CONVALESCENT HOSPITAL, LLC
NPI 1023019700
Skilled Nursing Facility in Riverside, CA

Active since August 03, 2005
6401 33RD ST, RIVERSIDE, CA 92509(951) 681-2200(951) 681-4402 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mt. Rubidoux Convalescent Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT. RUBIDOUX CONVALESCENT HOSPITAL, LLC (NPI 1023019700) is a healthcare organization registered as a skilled nursing facility in Riverside, California and active in the NPI registry since August 2005. The organization lists Elizabeth Plott Tyler, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1023019700
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMT. RUBIDOUX CONVALESCENT HOSPITAL, LLC
Location Address6401 33RD STRiverside, CA 92509-1404
Mailing Address5455 Wilshire Blvd, Ste 1925Los Angeles, CA 90036-4201 · (323) 655-6960
Fax(951) 681-4402
Organization SubpartNo
Authorized OfficialElizabeth Plott TylerVice President Of Operations · (323) 655-6960
Enumeration DateAugust 3, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1023019700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
6401 33RD ST, Riverside, CA 92509

Other Identifiers 1

MedicaidZZT05581ICA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6401 33RD ST
RIVERSIDE, CA 92509
Skilled Nursing Facility
6401 33RD ST
RIVERSIDE, CA 92509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt. Rubidoux Convalescent Hospital, LLC's NPI number?

The NPI number for Mt. Rubidoux Convalescent Hospital, LLC is 1023019700. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Mt. Rubidoux Convalescent Hospital, LLC located?

Mt. Rubidoux Convalescent Hospital, LLC is located at 6401 33rd St, Riverside, CA 92509. The listed phone number is (951) 681-2200.

What is Mt. Rubidoux Convalescent Hospital, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Mt. Rubidoux Convalescent Hospital, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.