Active NPI
A & C Health Care Services, Inc.
Doing business as A & C Convalescent Hospital
- Skilled Nursing Facility
- Millbrae, CA
National Provider Identifier
1275703571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 220000050
- Legal business name
- A & C HEALTH CARE SERVICES, INC.
- Doing business as
- A & C Convalescent Hospital
- Practice address
- 33 Mateo Ave
Millbrae, CA 94030-2037 - Phone
- (650) 583-8937
- Fax
- (650) 583-2647
- NPI assigned
- Mar 3, 2008
- Last updated
- Dec 1, 2008
- Organization subpart
- Yes
- Parent organization
- A & C HEALTH CARE SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amparo B Ragudo, N.H.A.
- Title
- C.F.O.
- Phone
- (408) 226-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 220000050 | CA | Primary |
Addresses
Primary practice location
33 Mateo Ave
Millbrae, CA 94030-2037
Mailing address
5615 Cottle Rd
San Jose, CA 95123-3625
Phone (408) 226-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-6122 ZZR06122G | Medicaid | CA | |
| 05-6122 ZZR06122G | Other | CA | PROVIDER NUMBER |
Other names 1
- A & C Convalescent Hospital
National Provider Directory
National Provider Directory- Part of
- A C Healthcare Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1275703571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 COTTLE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951233625",
"telephone_number": "408-226-0300",
"fax_number": "408-226-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MATEO AVE",
"city": "MILLBRAE",
"state": "CA",
"postal_code": "940302037",
"telephone_number": "650-583-8937",
"fax_number": "650-583-2647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & C HEALTH CARE SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "A & C HEALTH CARE SERVICES, INC.",
"enumeration_date": "2008-03-03",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "RAGUDO",
"authorized_official_first_name": "AMPARO",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "408-226-0300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N.H.A."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "220000050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05-6122 ZZR06122G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "05-6122 ZZR06122G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A & C Convalescent Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.