NPIMap

Organization Active NPI

Mouri Management Group Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • San Jose, CA
National Provider Identifier
1245380146
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MOURI MANAGEMENT GROUP INCORPORATED
Practice address
394 Gridley St
San Jose, CA 95127-1522
Phone
(408) 729-5717
Fax
(408) 729-5717
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X LTC80244F CA

Addresses

Primary practice location

394 Gridley St
San Jose, CA 95127-1522

Mailing address

3220 Flintdale Drive
San Jose, CA 95148-1231
Phone (408) 531-9126

Other names 1

  • Shinrai Homes Doing business as

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G373

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
SHINRAI-GRIDLEY
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 23, 2001
Last certification
Sep 12, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
394 Gridley Street
San Jose, CA 95127

National Provider Directory

National Provider Directory
Tax ID family
Mouri Management Group Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1245380146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 FLINTDALE DRIVE",
            "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": "394 GRIDLEY ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271522",
            "telephone_number": "408-729-5717",
            "fax_number": "408-729-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOURI MANAGEMENT GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "LTC80244F",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shinrai Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.