SAN LEANDRO HEALTH CARE CENTER, INC. (NPI# 1790850329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790850329 |
| Entity Type | Organization |
| Organization Name | SAN LEANDRO HEALTH CARE CENTER, INC. |
| Practice Address |
368 Juana Ave San Leandro CA 94577-0000 |
| Mailing Address |
524 Callan Ave San Leandro CA 94577-0000 |
| Practice Telephone | 5103574015 |
| Practice Fax Number | 5103573466 |
| Mailing Telephone | 5103523402 |
| Mailing Fax Number | 5103528530 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | PAT PODDATOORI (OWNER) |
| Authorized Official Telephone | 3103863340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02 0000097 | CA | Nursing & Custodial Care Facilities |
| Street Address |
368 JUANA AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| 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 |
|---|---|---|---|---|
| 1972851392 | Meridian Health Services Corporation | Skilled Nursing Facility | 15731 Maubert Ave, San Leandro, CA 94578-2014 | 2012-08-15 |
| 1659495604 | Sanhyd, Inc. | Skilled Nursing Facility | 524 Callan Ave, San Leandro, CA 94577-4610 | 2007-03-16 |
| 1467597534 | Bancroft Convalescent Hospital, Inc. | Skilled Nursing Facility | 1475 Bancroft Ave, San Leandro, CA 94577-5105 | 2007-02-20 |
| 1770657561 | Kaiser Foundation Hospitals | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2006-11-20 |
| 1104932417 | Ty Five Star Corp | Skilled Nursing Facility | 1652 Mono Ave, San Leandro, CA 94578-2020 | 2006-08-21 |
| 1649787268 | Bancroft Health Group, Inc. | Skilled Nursing Facility | 1475 Bancroft Ave, San Leandro, CA 94577-5105 | 2018-01-04 |
| 1205213204 | All Saintsidence Opco, LLC | Skilled Nursing Facility | 1652 Mono Ave, San Leandro, CA 94578-2020 | 2015-04-29 |
| 1225425929 | Maubertidence Opco, LLC | Skilled Nursing Facility | 15731 Maubert Ave, San Leandro, CA 94578-2014 | 2015-04-20 |
| 1255616280 | Kaiser | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2011-10-21 |
| 1861693657 | Alameda Health System | Skilled Nursing Facility | 15400 Foothill Blvd, Bldg E, San Leandro, CA 94578-1009 | 2007-05-30 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
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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.