Active NPI
Empress Care Center, LLC
- Skilled Nursing Facility
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMPRESS CARE CENTER, LLC
- Practice address
- 1299 S Bascom Ave
San Jose, CA 95128-3514 - Phone
- (408) 287-0616
- NPI assigned
- Sep 27, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Jenq H. Chen
- Title
- Owner
- Phone
- (310) 889-9929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
1299 S Bascom Ave
San Jose, CA 95128-3514
Mailing address
1937 Pontius Ave
Los Angeles, CA 90025-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06026G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040707001575 | CA | Part A Provider - Skilled Nursing Facility | 2961480900 | Practice locations: San Jose, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396732046. Details of each certification follow.
Skilled nursing facility certification: CCN 056026
- Legal name
- EMPRESS CARE CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 10, 1969
- Last certification
- Apr 28, 2025
- Beds
- 67
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Sep 1, 2001 in CA
- Enrollment address
- 1299 S Bascom Ave
San Jose, CA 95128-3514 - Nursing home name
- EMPRESS CARE CENTER, LLC
- Affiliated entity
- EVA CARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Empress Care Center, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Feb 10, 1969
- Medicare certification status
- Active
- Certified beds
- 67
- Chain
- Eva Care Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0608554 | Empress Care Center, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1299 S Bascom Ave
San Jose, CA 95128
Phone (408) 287-0516
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Norman P Woods | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Jenq H Chen | 5% Or Greater Direct Ownership Interest | Apr 27, 2001 | 50% |
| Tze-Yun Chen | 5% Or Greater Direct Ownership Interest | Aug 1, 2001 | 50% |
| Cory Diebold | Operational/Managerial Control | Nov 9, 2022 | |
| Adp of the SNF | Nov 9, 2022 | ||
| John Padama | Corporate Director | Aug 2, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Saratoga, CA
- NPI 1194711580
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396732046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 PONTIUS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283514",
"telephone_number": "408-287-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPRESS CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "JENQ",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-889-9929",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR06026G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, 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.
- 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.