Caremeridian, LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Gilroy, CA
NPI 1487791216 · NPPES record last updated Aug 18, 2019
Key facts
- NPI
- 1487791216
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 070000603 (CA)
- Legal business name
- CAREMERIDIAN, LLC
- Practice address
- 11500 Center Ave
Gilroy, CA 95020-9223 - Phone
- (408) 686-0758
- Fax
- (408) 686-0618
- NPI assigned
- Jan 31, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
- Name
- Mr. Sean Shea
- Title
- Director of Finance
- Phone
- (617) 688-5251
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- Caremeridian LLC
- Part of
- California Mentor
Locations
11500 Center Ave
Gilroy, CA 95020
Phone (408) 686-0758
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 070000603 | CA | Yes |
Addresses
Primary practice location
11500 Center Ave
Gilroy, CA 95020-9223
Mailing address
163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 794-0787
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCB00004F | Medicaid | CA | |
| 070000603 | Other | CA | STATE DHS LICENSE # |
Other names
- Neurorestorative
Other providers in Gilroy, CA
- Juracia Vieira Carbajal
- Matthew Scott Carbajal
- Angelica Cardenas
- Bertha Denise Cardenas
- Carolina Cardoza
- Caremore Health Plan
- Tiffany Carey
- Caringhand Home Health Services, Inc.
- David Richard Carl
- Robert Anson Carl
All providers in Gilroy, CA · Nursing Facility/Intermediate Care Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.