Hillsborough Manor Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

315P00000X Issued in CA

Legal business name

HILLSBOROUGH MANOR INC.

Doing business as

SUNRISE ICF/DD-H

Practice address

1776 Adams St
San Mateo, CA 94403-1108

Phone

(650) 578-1091

Fax

(650) 216-9455

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemarie Tambot Veridiano, PHARMACIST

Title

President

Phone

(650) 580-2983

Specialties & licenses 1

Addresses

Other names 1

• SUNRISE ICF/DD-H Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G676

Legal name

SUNRISE ICF/DD-H

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 10, 2012

Last certification

Nov 3, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

1776 Adams Street
San Mateo, CA 94403

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1497040117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 EL CAMINO REAL, STE. C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94061",
            "telephone_number": "650-216-9960",
            "fax_number": "650-216-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 ADAMS ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031108",
            "telephone_number": "650-578-1091",
            "fax_number": "650-216-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "VERIDIANO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "TAMBOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-580-2983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "315P00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE ICF/DD-H",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick James Higgins
• Mark Highman
• Angelica Hilario
• Diana Hill
• Aimee Elise Hilliard, M.A. COUNSELING
• Freida Hilts, PHD, LEP
• Rommel Hindocha, D.C.
• Ernesto Balubar Hipolito, MD
• Krista Ann Hirasuna, DDS, MS
• Dona Karin Hirschfield-White

• Intellectual Disabilities Intermediate Care Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.