Active NPI
JC Care, Inc
- Skilled Nursing Facility
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2200000109
- Legal business name
- JC CARE, INC
- Practice address
- 2740 California St
San Francisco, CA 94115-2514 - Phone
- (415) 567-3133
- Fax
- (415) 567-3037
- NPI assigned
- Dec 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Chalich
- Title
- President
- Phone
- (415) 567-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2200000109 | CA | Primary |
Addresses
Primary practice location
2740 California St
San Francisco, CA 94115-2514
Mailing address
2740 California St
San Francisco, CA 94115-2514
Phone (415) 567-3133
Other names 1
- Laurel Heights Community Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150211000954 | CA | Part A Provider - Skilled Nursing Facility | 0648595876 | Practice locations: San Francisco, CA |
Skilled nursing facility certification: CCN 555869
- Legal name
- JC CARE INC
- Doing business as
- LAUREL HEIGHTS COMMUNITY CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- May 11, 2011
- Last certification
- Apr 19, 2024
- Beds
- 32
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 31, 2014 in CA
- Enrollment address
- 2740 California St
San Francisco, CA 94115-2514 - Nursing home name
- LAUREL HEIGHTS COMMUNITY CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Laurel Heights Community Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- May 11, 2011
- Medicare certification status
- Active
- Certified beds
- 32
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1001643 | Laurel Heights Community Care | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| JC Care Inc | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 100% |
| Mikael D Langner | Operational/Managerial Control | Mar 1, 2026 | |
| Adp of the SNF | Mar 1, 2026 | ||
| John Chalich | 5% Or Greater Indirect Ownership Interest | Nov 1, 2014 | 50% |
| Corporate Officer | Nov 1, 2014 | ||
| Corporate Director | Nov 1, 2014 | ||
| Operational/Managerial Control | Nov 1, 2014 | ||
| Adp of the SNF | Nov 1, 2014 | ||
| Eufemia Encinares Dimacali | Operational/Managerial Control | Oct 11, 2023 | |
| Adp of the SNF | Oct 11, 2023 | ||
| Tanya Chalich | 5% Or Greater Indirect Ownership Interest | Nov 1, 2014 | 50% |
| Corporate Officer | Nov 1, 2014 | 50% | |
| Adp of the SNF | Nov 1, 2014 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- South San Francisco, CA
- NPI 1548069073
Adp of the SNF, Operational/Managerial Control
-
- General Practice Physician
- Berkeley, CA
- NPI 1477855724
Adp of the SNF, Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418342400000",
"number": "1629476239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152514",
"telephone_number": "415-567-3133",
"fax_number": "415-567-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152514",
"telephone_number": "415-567-3133",
"fax_number": "415-567-3037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JC CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A",
"authorized_official_last_name": "CHALICH",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-567-3133"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "2200000109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laurel Heights Community Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.