NPIMap

Organization Active NPI

Solidum Care Homes

  • Nursing Facility/Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1285821272
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SOLIDUM CARE HOMES
Practice address
3522 Otto Dr
Stockton, CA 95209-5138
Phone
(209) 478-1322
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mr. Melchor G. Tupas
Title
RN Administrator
Phone
(209) 478-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

3522 Otto Dr
Stockton, CA 95209-5138

Mailing address

3522 Otto Dr
Stockton, CA 95209-5138
Phone (209) 478-1322

Other identifiers 1

IdentifierTypeStateIssuer
LTC80405FOtherCAMEDICAL PIN

National Provider Directory

National Provider Directory
Tax ID family
Solidum Care Home Icfdd-N24 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1285821272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 OTTO DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095138",
            "telephone_number": "209-478-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 OTTO DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095138",
            "telephone_number": "209-478-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDUM CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "TUPAS",
        "authorized_official_first_name": "MELCHOR",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "209-478-1322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "LTC80405F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2007; 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.