Organization Active NPI

Intellihealth Care Management Services Inc

Doing business as Emmanuel Care Center - Travis

  • Skilled Nursing Facility
  • Stockton, CA
National Provider Identifier
1356006589
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Emmanuel Care Center - TravisCCN 555938 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 31, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
99

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Emmanuel Care Center - Travis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
William Demesa Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 2%
Operational/Managerial Control Jan 1, 2025
Praxedes Bernardo Demesa Individual 5% Or Greater Direct Ownership InterestCeo, Cfo, Owner Jan 1, 2025 88%
Corporate OfficerCeo, Cfo Aug 27, 2021
Operational/Managerial Control Jan 1, 2025
Edna Murray Individual Adp of the SNF Mar 2, 2006
Ricardo Bautista Individual Corporate OfficerSecretary Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Monita Gallarde Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 2%
Corporate OfficerSecretary Jan 1, 2025
Olivia Linayao Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 2%
Corporate OfficerSecretary Jan 1, 2025
Gilda D Dizon Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 2%
Corporate OfficerSecretary Jan 1, 2025
Campanale Sisters, LLC Organization, Fairfield, CA LLC Adp of the SNF Mar 2, 2006
Individual Adp of the SNF Mar 2, 2006
Gurpreet Dhugga Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Willy de Mesa Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 4%
Corporate OfficerChair of the Board, Director Aug 27, 2021
Operational/Managerial Control Jan 1, 2025
Richard Zimmerman Individual 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.

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"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.