# HCM SUSANVILLE CONVALESCENT HOSPITAL, INC.

> 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:** Susanville Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629180484
- **Authorized official:** MR. ARDEN BENNETT (CEO)
- **Authorized official phone:** (559) 673-5149

## Contact information

- **Practice address:** 2005 RIVER ST, SUSANVILLE, CA 96130-4524
- **Practice address phone:** (530) 257-5341
- **Practice address fax:** (530) 257-8150
- **Mailing address:** 632 E YOSEMITE AVE, MADERA, CA 93638-3343
- **Mailing address phone:** (559) 673-5149
- **Mailing address fax:** (559) 673-7249

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06231J | — | CA |