MISSION LODGE SANITARIUM LLC
NPI 1184924953
Skilled Nursing Facility in San Gabriel, CA

Active since October 27, 2010
824 S GLADYS AVE, SAN GABRIEL, CA 91776(626) 287-0753 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mission Lodge Sanitarium Llc NPPES

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

MISSION LODGE SANITARIUM LLC (NPI 1184924953) is a healthcare organization registered as a skilled nursing facility in San Gabriel, California and active in the NPI registry since October 2010. The organization lists Brian K. Reynolds, Manager, as its authorized official.

NPPES Registry Identity

NPI1184924953
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMISSION LODGE SANITARIUM LLC
Location Address824 S GLADYS AVESan Gabriel, CA 91776-2710
Mailing Address1423 Clarkview RdBaltimore, MD 21209-2134 · (410) 427-2700 · Fax (414) 815-5558
Organization SubpartNo
Authorized OfficialBrian K. ReynoldsManager · (410) 513-8738
Enumeration DateOctober 27, 2010
Last NPPES UpdateJune 10, 2015
NPI 1184924953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedAssisted Living FacilityTaxonomy 310400000X
824 S GLADYS AVE, San Gabriel, CA 91776

Other Identifiers 1

Medicare OSCAR/certification555863CA

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
824 S GLADYS AVE
SAN GABRIEL, CA 91776

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 Mission Lodge Sanitarium LLC's NPI number?

The NPI number for Mission Lodge Sanitarium LLC is 1184924953. It was assigned to this organization in the NPPES registry on October 27, 2010.

Where is Mission Lodge Sanitarium LLC located?

Mission Lodge Sanitarium LLC is located at 824 S Gladys Ave, San Gabriel, CA 91776. The listed phone number is (626) 287-0753.

What is Mission Lodge Sanitarium 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 Mission Lodge Sanitarium LLC was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.