Active NPI
Intellihealth Care Management Services Inc
Doing business as Emmanuel Care Center - Travis
- Skilled Nursing Facility
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- INTELLIHEALTH CARE MANAGEMENT SERVICES INC
- Doing business as
- Emmanuel Care Center - Travis
- Practice address
- 10740 Oakwilde Ave
Stockton, CA 95212-9249 - Phone
- (209) 406-6610
- Fax
- (209) 729-5777
- NPI assigned
- Nov 2, 2021
- Last updated
- Oct 25, 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, MPA NHA
- Title
- President
- Phone
- (209) 406-6610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10740 Oakwilde Ave
Stockton, CA 95212-9249
Mailing address
10740 Oakwilde Ave
Stockton, CA 95212-9249
Phone (209) 406-6610
Other names 1
- Emmanuel Care Center - Travis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250411000994 | CA | Part A Provider - Skilled Nursing Facility | 6507244977 | Practice locations: Fairfield, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356006589. Details of each certification follow.
Skilled nursing facility certification: CCN 555938
- Legal name
- INTELLIHEALTH CARE MANAGEMENT SERVICES, INC.
- Doing business as
- EMMANUEL CARE CENTER- TRAVIS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 31, 2025
- Last certification
- Dec 4, 2025
- Beds
- 99
- Ownership / control type
- Corporation
- Multi-facility organization
- Intellihealth Care Management Services, Inc
- Organization structure
- Corporation
- Enrollment address
- 1244 Travis Blvd
Fairfield, CA 94533-4802 - Nursing home name
- EMMANUEL CARE CENTER - TRAVIS
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Emmanuel Post Acute Care- Hayward
- Skilled Nursing Facility
- Hayward, CA
- NPI 1285386409
6507244977
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emmanuel Care Center - Travis
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 31, 2025
- 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.
-
dba Emmanuel Post Acute Care- Hayward
- Skilled Nursing Facility
- Hayward, CA
- NPI 1285386409
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| William Demesa | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 2% |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Praxedes Bernardo Demesa | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 88% |
| Corporate Officer | Aug 27, 2021 | ||
| Operational/Managerial Control | Jan 1, 2025 | ||
| Edna Murray | Adp of the SNF | Mar 2, 2006 | |
| Ricardo Bautista | Corporate Officer | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Monita Gallarde | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 2% |
| Corporate Officer | Jan 1, 2025 | ||
| Olivia Linayao | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 2% |
| Corporate Officer | Jan 1, 2025 | ||
| Gilda D Dizon | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 2% |
| Corporate Officer | Jan 1, 2025 | ||
| Campanale Sisters, LLC | Adp of the SNF | Mar 2, 2006 | |
| Adp of the SNF | Mar 2, 2006 | ||
| Gurpreet Dhugga | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Willy de Mesa | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 4% |
| Corporate Officer | Aug 27, 2021 | ||
| Operational/Managerial Control | Jan 1, 2025 | ||
| Richard Zimmerman | Adp of the SNF | Mar 2, 2006 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1356429161
Adp of the SNF, Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1356006589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 OAKWILDE AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952129249",
"telephone_number": "209-406-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 OAKWILDE AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952129249",
"telephone_number": "209-406-6610",
"fax_number": "209-729-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTELLIHEALTH CARE MANAGEMENT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-02",
"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.",
"authorized_official_credential": "MPA NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emmanuel Care Center - Travis",
"code": "3",
"type": "Doing Business As"
}
]
}
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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.