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Facility Information

Facility ID: 630011864

Register Complaint

Alameda Hospital - Southshore Convalescent

Other previous Names(s) known as:

  • Alameda Hospital - South Shore Convalescent

625 Willow St
Alameda, Ca   94501

County:Alameda

Phone:(510) 523-3772

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

East Bay District Office
850 Marina Bay Parkway Building P, 1st Floor
Richmond, CA. 94804-6403
Phone Number: (510) 620-3900
Fax Number: (510) 620-3924

License Information

Licensee: Alameda Health System
1411 East 31St Street
Oakland, Ca 94602

Licensee Type: Other Public Agency

License Number: 140000002

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 5/1/2014

Expiration Date: 4/30/2015

Total License Capacity: 281

Bed Classification/Services:

Other Approved Services:

  • Respiratory Care Services
  • Physical Therapy
  • Outpatient Services
  • Nuclear Medicine
  • Mobile Unit - Mri
  • Basic Emergency Medical

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:

Last Certification Inspection Status:

Certification Status:

Approval Date:

Nursing Home Compare Five Star Quality Ratings are provided by the Medicare.gov - Nursing Home Compare website.

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

None found

Administration Information

5/1/2014
to Present

Alameda Health System
Relationship to Facility: Licensee

5/1/2014
to Present

Stebbins, Deborah E
Relationship to Facility: Administrator

5/1/2014
to Present

Bond, Mary
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

5/1/2014
to Present

City Of Alameda Health Care District
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

5/1/2014
to Present

Banerjee, Kinkini
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Bennett Tate, James
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Boggan Jr, Daniel
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Devries, Joe
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Lawrence, Michele
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Lewis, Valerie D
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Miller, Kirk E
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Schiffman, Stanley Michael
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Varni, Anthony B
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Zorthian, Barry
Relationship to Facility: Board Of Directors

5/1/2014
to Present

Lassiter Iii, Wright
Relationship to Facility: Corporate Officer

5/1/2014
to Present

Strong, Jim
Relationship to Facility: Corporate Officer