Icare Manor, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ICARE MANOR, INC.

Practice address

1215 W Swain Rd
Stockton, CA 95207-4228

Phone

(209) 957-8385

Fax

(209) 477-0206

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tiep D. Nguyen

Title

President

Phone

(209) 957-8385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1376723973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MARKET ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131207",
            "telephone_number": "408-287-5262",
            "fax_number": "408-287-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W SWAIN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074228",
            "telephone_number": "209-957-8385",
            "fax_number": "209-477-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIEP",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-957-8385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Ibarra-Hernandez
• Cassandra Ibarra
• Zilvana Ibarra
• Raquel Malapit Ibea
• Icare Management Services Inc
• Ielo Care LLC
• Rithy Ieng
• Puaolele Leute Ieremia
• Heather Seini Iese
• Nikolas Angelo Igar

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.