NPIMap

Organization Active NPI

Pleasant Care Corporation

Doing business as Emmanuel Convalescent Millbrae

  • Skilled Nursing Facility
  • Millbrae, CA
National Provider Identifier
1154348084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PLEASANT CARE CORPORATION
Doing business as
Emmanuel Convalescent Millbrae
Practice address
33 Mateo Ave
Millbrae, CA 94030-2037
Phone
(818) 248-9808
Fax
(818) 541-7072
NPI assigned
Jul 16, 2006
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
Joseph Padre
Title
Director of Reimbursement
Phone
(818) 248-9808

Specialties & licenses 1

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

Addresses

Primary practice location

33 Mateo Ave
Millbrae, CA 94030-2037

Mailing address

2258 Foothill Blvd Ste 6
La Canada, CA 91011-1476
Phone (818) 248-9808

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06122GMedicaidCA

Other names 1

  • Emmanuel Convalescent Millbrae Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Care Corporation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154348084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 6",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111476",
            "telephone_number": "818-248-9808",
            "fax_number": "818-541-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MATEO AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302037",
            "telephone_number": "818-248-9808",
            "fax_number": "818-541-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "818-248-9808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06122G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Convalescent Millbrae",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrae, 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.