Organization Active NPI

Sky Blue Health Inc Dba Hillside Care Center

  • Skilled Nursing Facility
  • Fremont, CA
National Provider Identifier
1346333275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SKY BLUE HEALTH INC DBA HILLSIDE CARE CENTER
Practice address
38650 Mission Blvd
Fremont, CA 94536-4391
Phone
(510) 793-3000
Fax
(510) 745-7300
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Catherine P Joseph, R.N.
Title
Director of Operation
Phone
(510) 793-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

38650 Mission Blvd
Fremont, CA 94536-4391

Mailing address

38650 Mission Blvd
Fremont, CA 94536-4391
Phone (510) 793-3000

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05562LCMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346333275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38650 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364391",
            "telephone_number": "510-793-3000",
            "fax_number": "510-745-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38650 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364391",
            "telephone_number": "510-793-3000",
            "fax_number": "510-745-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY BLUE HEALTH INC DBA HILLSIDE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "510-793-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05562LC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.