# SANTA CLARITA CONVALESCENT

> 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
- **Other names:** Santa Clarita Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154389872
- **Authorized official:** STEVEN R. PAVLOW (PRESIDENT)
- **Authorized official phone:** (702) 893-8962

## Contact information

- **Practice address:** 23801 NEWHALL AVE, NEWHALL, CA 91321-3126
- **Practice address phone:** (661) 259-3660
- **Practice address fax:** (661) 255-3709
- **Mailing address:** 5600 SPRING MOUNTAIN RD, 103, LAS VEGAS, NV 89146-8821
- **Mailing address phone:** (702) 893-8962
- **Mailing address fax:** (702) 893-8961

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 03/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05728J | — | CA |