Ty Five Star Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TY FIVE STAR CORP

Practice address

1652 Mono Ave
San Leandro, CA 94578-2020

Phone

(510) 481-3200

Fax

(510) 278-7912

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tobias L Yeh, MD

Title

Administrator

Phone

(510) 481-3306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• All Saints Subacute And Rehabilitation Center Doing business as

Tax ID family

All Saints Subacute and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• All Saints Subacute & Rehabilitation Center

  • Skilled Nursing Facility
  • San Leandro, CA
  • NPI 1497819643
  NPD tax ID

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104932417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 MONO AVENUE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-481-3200",
            "fax_number": "510-278-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 MONO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782020",
            "telephone_number": "510-481-3200",
            "fax_number": "510-278-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY FIVE STAR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-481-3306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55809F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Saints Subacute And Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonte Turner
• Naomi Turner
• Traci Eileen Turner
• Yoko Jovita Turpcu
• Sarah Renae Turtle
• Ty Five Star Corporation
• Tyler Williams Physical Therapy
• Alexander Scott Tyler
• Christiana Marie Tyler
• Geri Tyndall-Funk

• Skilled Nursing Facility in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Skilled Nursing Facility in California

• 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.