PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI 1750309837
Skilled Nursing Facility in Mission Hills, CA

Active since July 17, 2006
11600 INDIAN HILLS RD, BUILDING A, MISSION HILLS, CA 91345(818) 365-8051(818) 496-4569 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2025, Mar 29, 2021 (2 updates tracked since 2021).

About Providence Health System - Southern California NPPES

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA (NPI 1750309837), doing business as Providence Holy Cross Medical Center, is a healthcare organization registered as a skilled nursing facility in Mission Hills, California and active in the NPI registry since July 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1750309837
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Location Address11600 INDIAN HILLS RD, BUILDING AMission Hills, CA 91345-1225
Mailing AddressPo Box 31001-3017Pasadena, CA 91110-3017
Fax(818) 496-4569
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1750309837 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.
11600 INDIAN HILLS RD, Mission Hills, CA 91345

Other Names 1

Doing Business AsProvidence Holy Cross Medical Center

Other Identifiers 4

MedicaidLTC70041GCA
MedicaidZZT18872GCA
OtherZZZA1901ZAR · Blue Shield Prov#
Other555074CA · Blue Cross Prov#

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
11600 INDIAN HILLS RD, SUITE 201
MISSION HILLS, CA 91345
Internal Medicine
11600 INDIAN HILLS RD
MISSION HILLS, CA 91345
Internal Medicine
11600 INDIAN HILLS RD, SUITE 200
MISSION HILLS, CA 91345
Obstetrics & Gynecology
11600 INDIAN HILLS RD, SUITE 200
MISSION HILLS, CA 91345
Family Medicine
11600 INDIAN HILLS RD
MISSION HILLS, CA 91345
Family Medicine
11600 INDIAN HILLS RD
MISSION HILLS, CA 91345
Internal Medicine
11600 INDIAN HILLS RD
MISSION HILLS, CA 91345
Internal Medicine (Gastroenterology)
11600 INDIAN HILLS RD
MISSION HILLS, CA 91345

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 Providence Health System - Southern California's NPI number?

The NPI number for Providence Health System - Southern California is 1750309837. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Providence Holy Cross Medical Center.

Where is Providence Health System - Southern California located?

Providence Health System - Southern California is located at 11600 Indian Hills Rd Building A, Mission Hills, CA 91345. The listed phone number is (818) 365-8051.

What is Providence Health System - Southern California'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 Providence Health System - Southern California was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.