# SANDHURST CONVALESCENT GROUP, LTD.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114915121
- **Authorized official:** ZACHARY RICHARDS (ADMINISTRATOR)
- **Authorized official phone:** (310) 675-3304

## Contact information

- **Practice address:** 13922 CERISE AVE, HAWTHORNE, CA 90250-8688
- **Practice address phone:** (310) 675-3304
- **Practice address fax:** (310) 675-4389
- **Mailing address:** 13922 CERISE AVE, HAWTHORNE, CA 90250-8688
- **Mailing address phone:** (310) 675-3304
- **Mailing address fax:** (310) 675-4389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000107 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 06/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06267I | — | CA |