San Rafael Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN RAFAEL CARE CENTER, INC.

Doing business as

San Rafael Care Center

Practice address

40 Professional Center Pkwy
San Rafael, CA 94903-2703

Phone

(415) 479-1230

Fax

(415) 492-0398

NPI assigned

Sep 26, 2013

Last updated

Sep 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James R Preimesberger

Title

President

Phone

(925) 855-0881

Specialties & licenses 1

Addresses

Other names 1

• San Rafael Care Center Doing business as

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1639506371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL CENTER PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032703",
            "telephone_number": "415-479-1230",
            "fax_number": "415-492-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL CENTER PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032703",
            "telephone_number": "415-479-1230",
            "fax_number": "415-492-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAFAEL CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-855-0881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Rafael Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.