SSC SAN JOSE OPERATING COMPANY LP (NPI# 1073633020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073633020 |
| Entity Type | Organization |
| Organization Name | SSC SAN JOSE OPERATING COMPANY LP |
| Other Organization Name | COURTYARD CARE CENTER |
| Practice Address |
340 Northlake Dr San Jose CA 95117-1251 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 4082490344 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | KELLE C SANTORO (SR DIRECTOR AR) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 070000220 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55635J | 05 | |
| CA | PREVIOUS MEDICAID NUMBER | LTC556351 | 01 |
| Other Name | Type Code |
|---|---|
| Courtyard Care Center | Doing Business As Name - Organization |
| Street Address |
340 NORTHLAKE DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159509 | Cheryl Del Rosario | Physical Therapy Assistant | 340 Northlake Dr, San Jose, CA 95117-1251 | 2019-05-17 |
| 1376109280 | Anthony Chen | Occupational Therapist | 340 Northlake Dr, San Jose, CA 95117-1251 | 2019-05-15 |
| 1811465917 | Laxmi Chittaluri | Physical Therapist | 340 Northlake Dr, San Jose, CA 95117-1251 | 2018-11-06 |
| 1588971253 | Austin Ocampo | Occupational Therapist | 340 Northlake Dr, San Jose, CA 95117-1251 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915727 | Sj Facility Inc | Skilled Nursing Facility | 75 N 13th St, San Jose, CA 95112-3439 | 2007-02-05 |
| 1083788079 | Better Care Inc | Skilled Nursing Facility | 1267 Meridian Ave, San Jose, CA 95125 | 2006-11-20 |
| 1811097694 | Bellerose Convalescent Hospital | Skilled Nursing Facility | 100 Bellerose Dr, San Jose, CA 95128-1701 | 2006-09-22 |
| 1134140072 | Snf Properties, Inc | Skilled Nursing Facility | 180 N Jackson Ave, San Jose, CA 95116-1907 | 2006-07-23 |
| 1720024391 | Hawthorne Holdings, LLC | Skilled Nursing Facility | 1990 Fruitdale Ave, San Jose, CA 95128-2709 | 2006-06-21 |
| 1902852411 | Beverly Health and Rehabilitation Services, Inc. | Skilled Nursing Facility | 401 Ridge Vista Ave, San Jose, CA 95127-1501 | 2006-05-26 |
| 1720032329 | Casavina Foundation Corp | Skilled Nursing Facility | 2501 Alvin Ave, San Jose, CA 95121-1660 | 2006-05-19 |
| 1902879471 | Grancare LLC | Skilled Nursing Facility | 2065 Forest Ave, San Jose, CA 95128-4807 | 2006-02-07 |
| 1548232184 | Grancare LLC | Skilled Nursing Facility | 2065 Los Gatos Almaden Rd, San Jose, CA 95124-5417 | 2006-02-07 |
| 1083685606 | Herman Sanitarium | Skilled Nursing Facility | 2295 Plummer Ave, San Jose, CA 95125-4767 | 2006-01-31 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.