NPIMap

Organization Active NPI

Shirley'S Care Home Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1326225665
Registry record updated Jan 29, 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
Practice address
2330 Shropshire Dr
Stockton, CA 95209
Phone
(209) 476-8703
Fax
(209) 476-8706
NPI assigned
Jan 29, 2008
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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

2330 Shropshire Dr
Stockton, CA 95209

Mailing address

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

Other names 1

  • Shirley's ICF DD N No 3 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G389

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SHIRLEY'S ICF/DD-N #3
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 15, 2001
Last certification
Mar 4, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
2330 Shropshire Drive
Stockton, CA 95209

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1100522Shirley'S Icf/DD-N No 32330 Shropshire Drive, Stockton, CA 95209Certificate of waiverJun 7, 2027

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1326225665",
    "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": "2330 SHROPSHIRE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95209",
            "telephone_number": "209-476-8703",
            "fax_number": "209-476-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S CARE HOME INC",
        "organizational_subpart": "YES",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "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 N No 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.