Provider Demographics
NPI:1639632763
Name:ACUTE CARE
Entity Type:Organization
Organization Name:ACUTE CARE
Other - Org Name:MS.
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVEN
Authorized Official - Middle Name:SHENETTE
Authorized Official - Last Name:MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-792-8069
Mailing Address - Street 1:2275 E MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-5029
Mailing Address - Country:US
Mailing Address - Phone:310-426-6000
Mailing Address - Fax:
Practice Address - Street 1:2275 E MARIPOSA AVE
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5029
Practice Address - Country:US
Practice Address - Phone:310-426-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-06
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC3791208-11-15-2012OtherCARDIAC RHYTHMS: SINUS RHYTHMS (NURSING)
DC3812493-06-19-2013OtherGOVERNMENT ETHICS - THE ESSENTIALS
DC8585-10-05-2011OtherHIV/AIDS: AVOIDING INFECTION
DC1333994-10-04-2011OtherMAND: EMERGENCY MANAGEMENT PLAN
DC1337035-10-04-2011OtherIMPAIRED PROFESSIONALS
DC1339073-10-05-2011OtherBLS (BASIC LIFE SUPPORT) HEALTHCARE PROVIDER COURSE
DC3782242-10-17-2013OtherPROTECTING AGAINST BLOODBORNE PATHOGENS NURSING
DC3832153-10-31-2012OtherFIT TESTING
DC7318-10-04-2011OtherCOMPLIANCE AND BUSINESS INTEGRITY (CBI) AWARENESS MANDATORY EDUCATION COURSE
DC1324114-10-05-2011OtherVISN 8 DIVERSITY TRAINING
DC11754-10-18-2013OtherPATIENT LEGAL RIGHTS, PROTECTION FROM ABUSE NURSE AIDE NURSE ASSISTANT
DC8872-10-05-2011OtherPREVENTION OF WORKPLACE HARASSMENT/NO FEAR
DC1337011-10-17-2013OtherDOMESTIC VIOLENCE FBN2285
DC1337015-10-17-2013OtherPREVENTION OF MEDICAL ERRORS
DC1339075-10-05-2011OtherBLS (BASIC LIFE SUPPORT) HEALTHCARE PROVIDER RENEWAL TRAINING
DC8586-12-05-2011OtherHIV/AIDS: GENERAL INFORMATION
DC1333993-01-12-2012OtherMAND: CULTURALLY COMPETENT HEALTH CARE
DC3813340-11-15-2012OtherCARDIAC RHYTHMS: ATRIAL RHYTHMS (NURSING)
DC1324101-10-05-2011OtherVISN 8 CULTURAL COMPETENCY
DC1333999-01-12-2012OtherMAND: FIRE AND SAFETY
DC1334002-01-12-2012OtherMAND: INFECTION CONTROL
DC1337016-10-04-2011OtherPAIN FBN2285
DC1337018-10-04-2011OtherREDUCING PATIENT FALLS FBN2285
DC3822819-12-07-2012OtherCARDIAC RHYTHMS: JUNCTIONAL RHYTHMS (NURSING)
DC021779-7928069OtherTHERAPEUTIC IMPAIRED PROFESSIONAL AWARENESS PROVIDER
DC10176-10-05-2011OtherVA PRIVACY AND INFORMATION SECURITY AWARENESS AND RULES OF BEHAVIOR
DC1333992-01-12-2012OtherMAND: ALTERNATE DISPUTE RESOLUTION
DC3131988-11-15-2012OtherLIFE-THREATENING ARRHYTHMIAS: EVENTS (NURSING)
DC5506-01-26-2011OtherPREVENTION OF SEXUAL HARASSMENT
DC8872-10-05-2011OtherPREVENTION OF WORKPLACE HARASSMENT/NO FEAR
DC021779-7928069OtherTHERAPEUTIC POLE DANCER
DC021779-7928069OtherTHERAPEUTIC SEX COUNSLER
DC1334003-10-04-2011OtherMAND: MEDICAL EQUIPMENT MANAGEMENT
DC1337018-10-04-2011OtherREDUCING PATIENT FALLS FBN2285
DC3773190-07-17-2012OtherSAFETY PRECAUTIONS ON NON-PSYCHIATRIC UNITS
DC3813340-11-15-2012OtherCARDIAC RHYTHMS: ATRIAL RHYTHMS (NURSING)
DC7318-10-04-2011OtherCOMPLIANCE AND BUSINESS INTEGRITY (CBI) AWARENESS MANDATORY EDUCATION COURSE
DC10176-10-05-2011OtherVA PRIVACY AND INFORMATION SECURITY AWARENESS AND RULES OF BEHAVIOR
DC1337015-10-17-2013OtherPREVENTION OF MEDICAL ERRORS
DC1337016-10-04-2011OtherPAIN FBN2285
DC1339075-10-05-2011OtherBLS (BASIC LIFE SUPPORT) HEALTHCARE PROVIDER RENEWAL TRAINING
DC1712049-08-02-2011OtherVISN 8: I CARE: CORE VALUES AND CHARACTERISTICS
DC35279280269OtherMUM
DC8586-12-05-2011OtherHIV/AIDS: GENERAL INFORMATION
DC8872-10-06-2011OtherPREVENTION OF WORKPLACE HARASSMENT/NO FEAR
DC1324101-10-05-2011OtherVISN 8 CULTURAL COMPETENCY
DC1332127-01-12-2012OtherMAND: AGE SPECIFIC
DC1334008-10-04-2011OtherMAND: UTILITIES
DC1334009-01-12-2012OtherMAND: EEO
DC3791208-11-15-2012OtherCARDIAC RHYTHMS: SINUS RHYTHMS (NURSING)