SHIRLEY'S CARE HOME INC (NPI# 1326225665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326225665 |
| Entity Type | Organization |
| Organization Name | SHIRLEY'S CARE HOME INC |
| Other Organization Name | SHIRLEY'S ICF DD N NO 3 |
| Practice Address |
2330 Shropshire Dr Stockton CA 95209 |
| Mailing Address |
9565 Colington Pl Stockton CA 95209-5013 |
| Practice Telephone | 2094768703 |
| Practice Fax Number | 2094768706 |
| Mailing Telephone | 2099526027 |
| Mailing Fax Number | 2099527825 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MRS. SHIRLEY GAPASIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2096079380 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Shirley's ICF DD N No 3 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245415272 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 9565 Colington Pl, Stockton, CA 95209-5013 | 2008-01-09 |
| Street Address |
2330 SHROPSHIRE DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| 1467412809 | Jill Michelle Henderzahs-mason | Physical Therapist | 1716 W Hammer Lane, Stockton, CA 95209 | 2006-03-27 |
| Find all providers in zip 95209 | ||||
| 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 |
|---|---|---|---|---|
| 1639526692 | Duke Facilities Inc. | Intermediate Care Facility, Mentally Retarded | 620 Garner Ln, Stockton, CA 95207-4805 | 2016-05-19 |
| 1063886638 | Sonia's Care Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 8516 Edgefield Way, Stockton, CA 95209-2238 | 2015-11-19 |
| 1952728412 | Gapuz Incorporated | Intermediate Care Facility, Mentally Retarded | 640 Whipporwill St, Stockton, CA 95210-4445 | 2014-03-23 |
| 1659525061 | Duke Facilities, Inc | Intermediate Care Facility, Mentally Retarded | 6142 Greenfield Ln, Stockton, CA 95207-3110 | 2008-11-12 |
| 1770760019 | Shirley's Care Home Inc #2 | Intermediate Care Facility, Mentally Retarded | 8351 Hamilton Way, Stockton, CA 95209-2212 | 2008-01-29 |
| 1194939025 | Gapasin Manor Icfddn #2 | Intermediate Care Facility, Mentally Retarded | 2325 Stanfield Dr, Stockton, CA 95209-4017 | 2007-05-10 |
| 1912111840 | Gapasin Manor Icfddn #3 | Intermediate Care Facility, Mentally Retarded | 3813 Steedman Way, Stockton, CA 95209-5020 | 2007-05-10 |
| 1568676492 | Gapasin Manor Icfddn #1 | Intermediate Care Facility, Mentally Retarded | 2451 Shropshire Dr, Stockton, CA 95209-1701 | 2007-05-10 |
| 1386869584 | Casa Del Rios | Intermediate Care Facility, Mentally Retarded | 7830 Omega Way, Stockton, CA 95212-2902 | 2007-04-15 |
| 1962551713 | Duke Facilities, Inc | Intermediate Care Facility, Mentally Retarded | 403 Goya Dr, Stockton, CA 95207-2246 | 2007-01-10 |
| Find all providers in STOCKTON | ||||
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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.