Organization Active NPI

Calcare Inc

  • Skilled Nursing Facility
  • Menlo Park, CA
National Provider Identifier
1023182938
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CALCARE INC
Practice address
1275 Crane St
Menlo Park, CA 94025-4212
Phone
(650) 325-8600
Fax
(650) 322-1016
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Dediachvili
Title
Ceo
Phone
(650) 325-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1275 Crane St
Menlo Park, CA 94025-4212

Mailing address

1275 Crane St
Menlo Park, CA 94025-4212
Phone (650) 325-8600

Other identifiers 1

IdentifierTypeStateIssuer
LTC55827FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1023182938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254212",
            "telephone_number": "650-325-8600",
            "fax_number": "650-322-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254212",
            "telephone_number": "650-325-8600",
            "fax_number": "650-322-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "DEDIACHVILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-325-8600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55827F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.