MOURI MANAGEMENT GROUP INCORPORATED (NPI# 1205019767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205019767 |
| Entity Type | Organization |
| Organization Name | MOURI MANAGEMENT GROUP INCORPORATED |
| Other Organization Name | SHINRAI HOMES |
| Practice Address |
2492 Aram Ave San Jose CA 95128-4209 |
| Mailing Address |
3220 Flintdale Dr San Jose CA 95148-1231 |
| Practice Telephone | 4082985205 |
| Practice Fax Number | 4085319020 |
| Mailing Telephone | 4085319126 |
| Mailing Fax Number | 4085319020 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | NOEL DE JESUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4085319126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 070000663 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ARAM HOUSE | Doing Business As Name - Organization |
| Shinrai Homes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982842894 | Mouri Management Group Incorporated | Nursing Facility/Intermediate Care Facility | 187 N White Rd, San Jose, CA 95127-1940 | 2009-01-30 |
| 1588716211 | Mouri Management Group Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3220 Flintdale Dr, San Jose, CA 95148-1231 | 2007-01-16 |
| 1205987864 | Mouri Management Group Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5601 Croydon Ave, San Jose, CA 95118-3522 | 2007-01-12 |
| 1245380146 | Mouri Management Group Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 394 Gridley St, San Jose, CA 95127-1522 | 2007-01-11 |
| 1508485376 | Mouri Management Group Incorporated | Intermediate Care Facility, Mentally Retarded | 6170 Purple Hills Dr, San Jose, CA 95119-1534 | 2020-04-13 |
| 1730708637 | Mouri Management Group Incorporated | Nursing Facility/Intermediate Care Facility | 6335 Camino Verde Dr, San Jose, CA 95119-1607 | 2020-04-10 |
| Street Address |
2492 ARAM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518390483 | Almond Home II Inc | Intermediate Care Facility, Mentally Retarded | 2551 Gumdrop Dr, San Jose, CA 95148-2019 | 2013-08-15 |
| 1053659086 | Mcr Care Inc. | Intermediate Care Facility, Mentally Retarded | 2223 Golden Dew Cir, San Jose, CA 95121-1441 | 2013-01-25 |
| 1932404555 | Emerald Key Villa Inc | Intermediate Care Facility, Mentally Retarded | 15860 Siesta Vista Drive, San Jose, CA 95127 | 2011-01-12 |
| 1396995072 | Circle of Care Corporation | Intermediate Care Facility, Mentally Retarded | 2130 Turnhouse Lane, San Jose, CA 95121-1377 | 2008-09-30 |
| 1912163031 | Tupaz Home # 14 | Intermediate Care Facility, Mentally Retarded | 14716 Union Ave, San Jose, CA 95124-3574 | 2008-07-29 |
| 1790949303 | Silver Punzalan II Inc | Intermediate Care Facility, Mentally Retarded | 2928 Silver Est, San Jose, CA 95135-1234 | 2008-07-12 |
| 1922219476 | Tupaz Home # 3 | Intermediate Care Facility, Mentally Retarded | 1955 Patio Dr, San Jose, CA 95125-5652 | 2007-05-25 |
| 1518178904 | Tupaz Home # 10 | Intermediate Care Facility, Mentally Retarded | 2893 Ross Ave, San Jose, CA 95124-1848 | 2007-05-25 |
| 1841401213 | Tupaz Home # 7 | Intermediate Care Facility, Mentally Retarded | 308 Marti Way, San Jose, CA 95136-2135 | 2007-05-25 |
| 1922219302 | Tupaz Home # 8 | Intermediate Care Facility, Mentally Retarded | 4189 Leigh Ave, San Jose, CA 95124-3612 | 2007-05-25 |
| 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.