South County Retirement Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

435294143 Issued in CA

Legal business name

SOUTH COUNTY RETIREMENT HOME

Practice address

460 Church Ave
San Martin, CA 95046-9778

Phone

(408) 683-0229

Fax

(408) 683-0278

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Calma ApostolNPI 1316776628

Title

Licensee

Phone

(408) 683-0229

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel C Apostol, ADM

  • Assisted Living Facility (Mental Illness)
  • San Martin, CA
  • NPI 1316776628
  NPD (past) Authorized official
• Hoan Van, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1629272380
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1306280839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CHURCH AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469778",
            "telephone_number": "408-683-0229",
            "fax_number": "408-683-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CHURCH AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469778",
            "telephone_number": "408-683-0229",
            "fax_number": "408-683-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "APOSTOL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CALMA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "408-683-0229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435294143",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "435294143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Rios
• Ermilyn Catalan Schroeder, LVN
• Solacium Holdings, LLC
• Solacium Holdings, LLC
• Solacium Holdings, LLC
• Raul Ignacio Soza, DRUG COUNSELOR
• Amarjot Thind
• Rhonda S Turner, RN
• Hadas Vered Weissberg
• Antonia C Zamarron, LVN

• Assisted Living Facility (Mental Illness) in San Martin, CA
• Providers in San Martin, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.