Organization Active NPI

Independent Quality Care

Doing business as Courtyard Care Center

  • Skilled Nursing Facility
  • Hayward, CA
National Provider Identifier
1083606115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
INDEPENDENT QUALITY CARE
Doing business as
Courtyard Care Center
Practice address
1625 Denton Ave
Hayward, CA 94545-1943
Phone
(510) 782-2133
Fax
(516) 783-3659
NPI assigned
Aug 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeremy E Grimes
Title
Manager
Phone
(925) 855-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1625 Denton Ave
Hayward, CA 94545-1943

Mailing address

3 Crow Canyon CT
San Ramon, CA 94583-1966
Phone (925) 855-0881

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05999GMedicaidCA

Other names 1

  • Courtyard Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1625 Denton Ave
Hayward, CA 94545
Phone (510) 782-2133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083606115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CROW CANYON CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831966",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DENTON AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451943",
            "telephone_number": "510-782-2133",
            "fax_number": "516-783-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-855-0881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05999G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.