NPIMap

Organization Active NPI

Shirley'S Care Home Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1245415272
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SHIRLEY'S CARE HOME INC
Doing business as
Shirley's ICF DD H No 4
Practice address
9565 Colington PL
Stockton, CA 95209-5013
Phone
(209) 952-6027
Fax
(209) 952-7825
NPI assigned
Jan 9, 2008
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mrs. Shirley Gapasin, RN
Title
Chief Financial Officer
Phone
(209) 607-9380

Specialties & licenses 1

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

Addresses

Primary practice location

9565 Colington PL
Stockton, CA 95209-5013

Mailing address

9565 Colington PL
Stockton, CA 95209-5013
Phone (209) 952-6027

Other names 1

  • Shirley's ICF DD H No 4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shirley'S Care Home Inc5 organizations share this tax ID, including this one
Part of
Shirley'S Care Home Inc

Other organizations with this tax ID 4

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1245415272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 COLINGTON PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095013",
            "telephone_number": "209-952-6027",
            "fax_number": "209-952-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 COLINGTON PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095013",
            "telephone_number": "209-952-6027",
            "fax_number": "209-952-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S CARE HOME INC",
        "organizational_subpart": "YES",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GAPASIN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-607-9380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley's ICF DD H No 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.