# SANTA ANITA CONVALESCENT HOSPITAL & RETIREMENT CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Anita Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134175201
- **Authorized official:** MRS. MARY BELINDA JOHNSON (BOOKKEEPER)
- **Authorized official phone:** (626) 579-0310

## Contact information

- **Practice address:** 5522 GRACEWOOD AVE, ARCADIA, CA 91007-8409
- **Practice address phone:** (626) 579-0310
- **Practice address fax:** (626) 350-3005
- **Mailing address:** 5522 GRACEWOOD AVE, ARCADIA, CA 91007-8409
- **Mailing address phone:** (626) 579-0310
- **Mailing address fax:** (626) 350-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000093 | CA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 03/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05293G | — | CA |