NPIMap

Organization Active NPI

Mouri Management Group Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • San Jose, CA
National Provider Identifier
1508485376
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MOURI MANAGEMENT GROUP INCORPORATED
Practice address
6170 Purple Hills Dr
San Jose, CA 95119-1534
Phone
(408) 363-0625
Fax
(408) 531-9020
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Noel De Jesus
Title
Executive Director
Phone
(408) 531-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

6170 Purple Hills Dr
San Jose, CA 95119-1534

Mailing address

3220 Flintdale Drive
San Jose, CA 95148-1231
Phone (408) 531-9126

Other names 1

  • Shinrai Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mouri Management Group Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1508485376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 FLINTDALE DRIVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481231",
            "telephone_number": "408-531-9126",
            "fax_number": "408-531-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 PURPLE HILLS DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191534",
            "telephone_number": "408-363-0625",
            "fax_number": "408-531-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOURI MANAGEMENT GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-531-9126"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shinrai Homes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shinrai Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 2020; 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.