Mouri Management Group Incorporated

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

070000663 Issued in CA

Legal business name

MOURI MANAGEMENT GROUP INCORPORATED

Doing business as

Shinrai Homes

Practice address

2492 Aram Ave
San Jose, CA 95128-4209

Phone

(408) 298-5205

Fax

(408) 531-9020

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Noel De Jesus

Title

Executive Director

Phone

(408) 531-9126

Specialties & licenses 1

Addresses

Other names 1

• Shinrai Homes Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G482

Legal name

SHINRAI-ARAM

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 14, 2003

Last certification

Apr 25, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

2492 Aram Avenue
San Jose, CA 95128

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1205019767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 FLINTDALE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481231",
            "telephone_number": "408-531-9126",
            "fax_number": "408-531-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 ARAM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284209",
            "telephone_number": "408-298-5205",
            "fax_number": "408-531-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOURI MANAGEMENT GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-531-9126"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "070000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shinrai Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Xia Ma Moua, MA, BCBA
• Nancy Moua
• Elisabeth Ann Moulthrop, MFT
• Melinda Mount, RD
• Rae Mountz
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)

• Intellectual Disabilities Intermediate Care Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.