St. Therese Convalescent Hospital ,Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

ST. THERESE CONVALESCENT HOSPITAL ,INC.

Doing business as

DEVONSHIRE OAKS NURSING CENTER

Practice address

3635 Jefferson Ave
Redwood City, CA 94062-3148

Phone

(650) 366-0294

Fax

(650) 366-0295

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Danilo Cardenas Cabanayan, R.N.

Title

President

Phone

(650) 366-0294

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DEVONSHIRE OAKS NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555813

Legal name

ST. THERESE CONVALESCENT HOSPITAL ,INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 8, 2004

Last certification

Jan 17, 2025

Beds

38

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 29, 1997 in CA

Enrollment address

3635 Jefferson Ave
Redwood City, CA 94062-3148

Nursing home name

DEVONSHIRE OAKS NURSING CENTER

Listed as

Devonshire Oaks Nursing CenterCCN 555813 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 8, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3831.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Melissa Ann Frederick, M.D.

  • Internal Medicine Physician
  • Millbrae, CA
  • NPI 1033238076

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659461408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623148",
            "telephone_number": "650-366-0294",
            "fax_number": "650-366-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623148",
            "telephone_number": "650-366-0294",
            "fax_number": "650-366-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THERESE CONVALESCENT HOSPITAL ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CABANAYAN",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "CARDENAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-366-0294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55813F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEVONSHIRE OAKS NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zandalee Springs
• Deepa Srinivasan, M.D.
• Kalpana Srinivasan, MD
• Carl St Goar
• Emily Bolton St. John
• Sara Christine Rochotte Stabile, MD
• Ginny Stacey, PHARM.D.
• Cindy Stack-Keer, RD
• Jessica Stacy, ATC
• Melanie Staehelin, NP

• Pediatric Skilled Nursing Facility in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.