Organization Active NPI

Palmero Enterprises Inc.

  • Skilled Nursing Facility
  • Mountain View, CA
National Provider Identifier
1174569743
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000410 Issued in CA
Legal business name
PALMERO ENTERPRISES INC.
Practice address
2530 Solace PL
Mountain View, CA 94040-4309
Phone
(650) 961-6161
Fax
(650) 967-7878
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Mr. Shane McCormack
Title
Owner
Phone
(650) 961-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000410 CA Primary

Addresses

Primary practice location

2530 Solace PL
Mountain View, CA 94040-4309

Mailing address

2530 Solace Place
Mountain View, CA 94040-4309
Phone (650) 961-6161

Other identifiers 2

IdentifierTypeStateIssuer
ZZR05316GMedicaidCA
R05316GMedicaidCA

Other names 1

  • Mountain View Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1174569743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SOLACE PLACE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404309",
            "telephone_number": "650-961-6161",
            "fax_number": "650-967-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SOLACE PL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404309",
            "telephone_number": "650-961-6161",
            "fax_number": "650-967-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERO ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-961-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05316G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R05316G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain View Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.