Organization Active NPI

Empress Care Center, LLC

  • Skilled Nursing Facility
  • San Jose, CA
National Provider Identifier
1396732046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 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
Mr. Jenq H. Chen
Title
Owner
Phone
(310) 889-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZR06026GMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 056026 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 10, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6748.8 residents per day on average
Chain
Eva Care Group9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0608554Empress Care Center, LLC1299 S Bascom Ave, San Jose, CA 95128Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Norman P Woods Individual Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Jenq H Chen Individual 5% Or Greater Direct Ownership Interest Apr 27, 2001 50%
Tze-Yun Chen Individual 5% Or Greater Direct Ownership Interest Aug 1, 2001 50%
Cory Diebold Individual Operational/Managerial Control Nov 9, 2022
Adp of the SNF Nov 9, 2022
John Padama Individual Corporate DirectorCorporate 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.

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

Verify at the official NPI Registry.