NPIMap

Organization Active NPI

Mills-Peninsula Health Services

Doing business as Mills-Peninsula Skilled Nursing

  • Skilled Nursing Facility
  • Burlingame, CA
National Provider Identifier
1114192697
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
22000017 Issued in CA
Legal business name
MILLS-PENINSULA HEALTH SERVICES
Doing business as
Mills-Peninsula Skilled Nursing
Practice address
1609 Trousdale Dr
Burlingame, CA 94010-4520
Phone
(650) 696-5270
NPI assigned
Apr 25, 2008
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Mr. Brian Trent Hunter
Title
VP Shared Services
Phone
(916) 297-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 22000017 CA Primary

Addresses

Primary practice location

1609 Trousdale Dr
Burlingame, CA 94010-4520

Mailing address

PO Box 742738
Los Angeles, CA 90074-2738
Phone (650) 696-5400

Other names 1

  • Mills-Peninsula Skilled Nursing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mills-Peninsula Health Services2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1114192697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742738",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742738",
            "telephone_number": "650-696-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 TROUSDALE DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104520",
            "telephone_number": "650-696-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS-PENINSULA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "VP SHARED SERVICES",
        "authorized_official_telephone_number": "916-297-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "22000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills-Peninsula Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.