Active NPI
Eastwood Care Inc
Doing business as Guardian Care and Rehab Center
- Skilled Nursing Facility
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EASTWOOD CARE INC
- Doing business as
- Guardian Care and Rehab Center
- Practice address
- 410 Eastwood Ave
Manteca, CA 95336-3167 - Phone
- (209) 239-1222
- NPI assigned
- Feb 10, 2023
- Last updated
- Oct 16, 2024
- 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
- Josekutty Jose
- Title
- Ceo
- Phone
- (925) 999-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
410 Eastwood Ave
Manteca, CA 95336-3167
Mailing address
410 Eastwood Ave
Manteca, CA 95336-3167
Phone (209) 239-1222
Other names 2
- Guardian Care and Rehab Center
- Eastwood Care Center Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231219001163 | CA | Part A Provider - Skilled Nursing Facility | 2163872094 | Practice locations: Manteca, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184321036. Details of each certification follow.
Skilled nursing facility certification: CCN 056216
- Legal name
- EASTWOOD CARE, INC.
- Doing business as
- GUARDIAN CARE AND REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 16, 1970
- Last certification
- Jul 19, 2024
- Beds
- 176
- Ownership / control type
- Corporation
- Multi-facility organization
- Eastwood Care Inc
- Organization structure
- Corporation
- Incorporated
- Dec 5, 2022 in CA
- Enrollment address
- 410 Eastwood Ave
Manteca, CA 95336-3167 - Nursing home name
- GUARDIAN CARE AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Guardian Care and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 16, 1970
- Medicare certification status
- Active
- Certified beds
- 176
National Provider Directory
National Provider DirectoryLocations
410 Eastwood Ave
Manteca, CA 95336
Phone (209) 239-1222
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edna Cortez | W-2 Managing Employee | Feb 18, 2023 | |
| Josekutty Jose | 5% Or Greater Direct Ownership Interest | Dec 5, 2022 | 100% |
| Corporate Officer | Dec 5, 2022 | ||
| Corporate Director | Dec 5, 2022 |
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.
-
- Occupational Therapist
- Fairfield, CA
- NPI 1932358462
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1184321036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 EASTWOOD AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953363167",
"telephone_number": "209-239-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 EASTWOOD AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953363167",
"telephone_number": "209-239-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTWOOD CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "JOSE",
"authorized_official_first_name": "JOSEKUTTY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-999-0004"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Care and Rehab Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Guardian Care and Rehab Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eastwood Care Center Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.