Ty Five Star Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000050 Issued in CA

Legal business name

TY FIVE STAR CORPORATION

Doing business as

All Saints Subacute and Rehabilitation Center

Practice address

1652 Mono Ave
San Leandro, CA 94578-2020

Phone

(510) 317-7360

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

James Preimesberger

Title

President

Phone

(213) 709-4887

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• All Saints Subacute and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1235267972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EXECUTIVE PKWY",
            "address_2": "SUITE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834210",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 MONO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782020",
            "telephone_number": "510-317-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY FIVE STAR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-709-4887"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000050",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "020000050",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "020000050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF LICENSE NUMBER",
            "identifier": "020000050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Saints Subacute and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Turner
• Traci Eileen Turner
• Yoko Jovita Turpcu
• Sarah Renae Turtle
• Ty Five Star Corp (All Saints Subacute And Rehabilitation Center)
• Tyler Williams Physical Therapy
• Alexander Scott Tyler
• Christiana Marie Tyler
• Geri Tyndall-Funk
• Angelina Tyner

• Skilled Nursing Facility in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.