PREMIER HEALTHCARE SERVICES INC (NPI# 1720066129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720066129 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES INC |
| Other Organization Name | MT PLEASANT NURSING CENTER |
| Practice Address |
1355 Clayton Rd San Jose CA 95127-4307 |
| Practice Telephone | 4082513070 |
| Practice Fax Number | 4082516567 |
| Mailing Telephone | 4082513070 |
| Mailing Fax Number | 4082516567 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2013-10-17 |
| Authorized Official Name | FREDERICK J STAMM (ADMINISTRATOR) |
| Authorized Official Telephone | 4082513070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 070000068 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR18445H | 05 |
| Other Name | Type Code |
|---|---|
| Mt Pleasant Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588876379 | Premier Healthcare Services Inc | Counselor | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-04 |
| 1548472434 | Premier Healthcare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 1892 Turnpike Road, Raeford, NC 28376 | 2007-05-04 |
| 1407063118 | Premier Healthcare Services Inc | Community/Behavioral Health | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-16 |
| 1881806602 | Premier Healthcare Services Inc | Psychiatry & Neurology | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2007-05-04 |
| Street Address |
1355 CLAYTON RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776404 | Kendra Gillio | Occupational Therapist | 1355 Clayton Rd, San Jose, CA 95127-4307 | 2020-10-05 |
| 1255980835 | Fletcher Cove Holdings LLC | Skilled Nursing Facility | 1355 Clayton Rd, San Jose, CA 95127-4307 | 2019-09-06 |
| 1043862238 | Saman Sabounchi LLC | Internal Medicine | 1355 Clayton Rd, San Jose, CA 95127-4307 | 2019-07-09 |
| 1215257894 | Saman Sabounchi | Internal Medicine | 1355 Clayton Rd, San Jose, CA 95127-4307 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
|---|---|---|---|---|
| 1073633020 | Ssc San Jose Operating Company Lp | Skilled Nursing Facility | 340 Northlake Dr, San Jose, CA 95117-1251 | 2007-03-30 |
| 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 |
| 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.