Active NPI
Intellihealth Care Management Services Inc
- Skilled Nursing Facility
- Hayward, CA
National Provider Identifier
1285386409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- INTELLIHEALTH CARE MANAGEMENT SERVICES INC
- Practice address
- 26660 Patrick Ave
Hayward, CA 94544-3808 - Phone
- (510) 782-1845
- Fax
- (510) 782-9913
- NPI assigned
- Jan 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Praxedes Bernardo Demesa
- Title
- President
- Phone
- (209) 406-6610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
26660 Patrick Ave
Hayward, CA 94544-3808
Mailing address
26660 Patrick Ave
Hayward, CA 94544-3808
Phone (510) 782-1845
Other names 2
- EMMANUEL POST ACUTE CARE- HAYWARD
- Emmanuel Post Acute & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231115002547 | CA | Part A Provider - Skilled Nursing Facility | 6507244977 | Practice locations: Hayward, CA |
Skilled nursing facility certification: CCN 056463
- Legal name
- INTELLIHEALTH CARE MANAGEMENT SERVICES, INC.
- Doing business as
- EMMANUEL POST ACUTE CARE - HAYWARD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1980
- Last certification
- Feb 29, 2024
- Beds
- 99
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2021 in CA
- Enrollment address
- 26660 Patrick Ave
Hayward, CA 94544-3808 - Nursing home name
- EMMANUEL POST ACUTE CARE - HAYWARD
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1356006589
6507244977
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emmanuel Post Acute Care - Hayward
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- May 1, 1980
- Medicare certification status
- Active
- Certified beds
- 99
National Provider Directory
National Provider Directory- Tax ID family
- Emmanuel Care Center - Travis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1356006589
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Praxedes Bernardo Demesa | 5% Or Greater Direct Ownership Interest | Jan 16, 2022 | 88% |
| Corporate Officer | Jan 16, 2022 | 88% | |
| Corporate Director | Jan 16, 2022 | 88% | |
| Operational/Managerial Control | Jan 16, 2022 | 88% | |
| Ludivina Pascual | Operational/Managerial Control | Jan 16, 2022 | |
| Glory Damaso | Operational/Managerial Control | Jan 16, 2022 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1285386409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26660 PATRICK AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945443808",
"telephone_number": "510-782-1845",
"fax_number": "510-782-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26660 PATRICK AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945443808",
"telephone_number": "510-782-1845",
"fax_number": "510-782-9913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTELLIHEALTH CARE MANAGEMENT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-19",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "DEMESA",
"authorized_official_first_name": "PRAXEDES",
"authorized_official_middle_name": "BERNARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-406-6610",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EMMANUEL POST ACUTE CARE- HAYWARD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Emmanuel Post Acute & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.