Active NPI
Independent Quality Care
Doing business as Courtyard Care Center
- Skilled Nursing Facility
- Hayward, CA
National Provider Identifier
1083606115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05999G | Medicaid | CA |
Other names 1
- Courtyard Care Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Alameda, CA
- NPI 1023009107
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.