Organization Active NPI

Nazareth House

  • Skilled Nursing Facility
  • San Rafael, CA
National Provider Identifier
1609877950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NAZARETH HOUSE
Practice address
245 Nova Albion Way
San Rafael, CA 94903-3539
Phone
(415) 479-8282
Fax
(415) 479-3878
NPI assigned
Aug 9, 2005
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
Sister Rose Hoye
Title
Administrator
Phone
(415) 479-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

245 Nova Albion Way
San Rafael, CA 94903-3539

Mailing address

245 Nova Albion Way
San Rafael, CA 94903-3539
Phone (415) 479-8282

Other identifiers 1

IdentifierTypeStateIssuer
ZZR18513FMedicaidCA

National Provider Directory

National Provider Directory

Locations

245 Nova Albion Way
San Rafael, CA 94903
Phone (415) 479-3450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609877950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NOVA ALBION WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033539",
            "telephone_number": "415-479-8282",
            "fax_number": "415-479-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NOVA ALBION WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033539",
            "telephone_number": "415-479-8282",
            "fax_number": "415-479-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOYE",
        "authorized_official_first_name": "SISTER ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-479-8282"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18513F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.