Organization Active NPI

MCR Care Inc.

  • Nursing Facility/Intermediate Care Facility
  • San Jose, CA
National Provider Identifier
1053659086
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MCR CARE INC.
Practice address
2223 Golden Dew Cir
San Jose, CA 95121-1441
Phone
(408) 205-5975
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mr. Oscar Ilusorio
Title
Vice President
Phone
(408) 205-5975

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X

Addresses

Primary practice location

2223 Golden Dew Cir
San Jose, CA 95121-1441

Mailing address

2223 Golden Dew Circle
San Jose, CA 95121
Phone (408) 205-5975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1053659086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 GOLDEN DEW CIRCLE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-205-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 GOLDEN DEW CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211441",
            "telephone_number": "408-205-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ILUSORIO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-205-5975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.