Noble Sub-Acute Care Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550003515 Issued in CA

Legal business name

NOBLE SUB-ACUTE CARE SERVICES, INC.

Doing business as

Mocho Park Care Center

Practice address

752 Holmes St
Livermore, CA 94550-4229

Phone

(925) 447-2280

Fax

(925) 454-5335

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Anelli Stamm, RN

Title

Secretary

Phone

(925) 447-2280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mocho Park Care Center Doing business as

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679982524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SILVER OAK TER",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631226",
            "telephone_number": "925-447-2280",
            "fax_number": "925-454-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 HOLMES ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504229",
            "telephone_number": "925-447-2280",
            "fax_number": "925-454-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504229",
            "country_code": "US",
            "telephone_number": "925-447-2280",
            "fax_number": "925-447-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOBLE SUB-ACUTE CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "ANELLI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "925-447-2280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679982524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mocho Park Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tin Nguyen
• Tracy Nguyen, OD
• Denice Michelle Nielson, MOTR/L, CHT
• Raquel Natalia Nieves, MD
• Jon M Nishikubo, DDS
• Jade Nicole Nolte
• Thanuchporn Nonnapaporn, DMD
• Kathleen Noonan, RN
• Amanda Norrish
• North Star Emergency Services, Inc. (NORCAL Ambulance)

• Skilled Nursing Facility in Livermore, CA
• Providers in Livermore, 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 Jul 21, 2022; 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.