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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: City Of Alameda Health Care District
2070 Clinton Avenue
Alameda, Ca 94501

Licensee Type: Health Care District

License Number: 140000002

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 11/1/2013

Expiration Date: 10/31/2014

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:

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

None found

Administration Information

11/1/2002
to Present

City Of Alameda Health Care District
Relationship to Facility: Licensee

11/1/2007
to Present

Stebbins, Deborah E
Relationship to Facility: Administrator

5/23/2005
to Present

Bond, Mary
Relationship to Facility: Director Of Nursing

Ownership Information

None found

Operating Entities

11/1/2002
to Present

Boone, Jeptha
Relationship to Facility: Board Of Directors

11/1/2002
to Present

Ezzy, Marilyn
Relationship to Facility: Board Of Directors

11/1/2002
to Present

Farrell, Kevin
Relationship to Facility: Board Of Directors

11/1/2002
to Present

Harper, Laurie
Relationship to Facility: Board Of Directors

11/1/2002
to Present

Tam, Lena
Relationship to Facility: Board Of Directors

11/1/2007
to Present

Stebbins, Deborah E
Relationship to Facility: Corporate Officer