NPIMap

Organization Active NPI

Concepcion Ancheta

Doing business as St. Denis Home

  • Intellectual Disabilities Intermediate Care Facility
  • San Ramon, CA
National Provider Identifier
1194993568
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CONCEPCION ANCHETA
Doing business as
St. Denis Home
Practice address
2939 Saint Denis Dr
San Ramon, CA 94583-2733
Phone
(925) 833-1605
NPI assigned
Feb 19, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mrs. Concepcion T Ancheta, ADMINISTRATOR
Title
Administrator
Phone
(650) 678-8142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

2939 Saint Denis Dr
San Ramon, CA 94583-2733

Mailing address

1117 Tanglewood Way
San Mateo, CA 94403-4919

Other names 1

  • St. Denis Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194993568. Details of each certification follow.

  • CCN 55G592 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G592

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST DENIS HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 15, 2008
Last certification
Apr 25, 2024
Beds
6
Ownership / control type
Private (non-profit)
Facility address
2939 Saint Denis Drive
San Ramon, CA 94583

National Provider Directory

National Provider Directory
Tax ID family
Concepcion Ancheta2 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.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1194993568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TANGLEWOOD WAY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 SAINT DENIS DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832733",
            "telephone_number": "925-833-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION ANCHETA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ANCHETA",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-678-8142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Denis Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.