Premier Healthcare Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

070000068 Issued in CA

Legal business name

PREMIER HEALTHCARE SERVICES INC

Doing business as

Mt Pleasant Nursing Center

Practice address

1355 Clayton Rd
San Jose, CA 95127-4307

Phone

(408) 251-3070

Fax

(408) 251-6567

NPI assigned

Jan 5, 2006

Last updated

Oct 17, 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

Frederick J Stamm

Title

Administrator

Phone

(408) 251-3070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt Pleasant Nursing Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1720066129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CLAYTON RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274307",
            "telephone_number": "408-251-3070",
            "fax_number": "408-251-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 CLAYTON RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274307",
            "telephone_number": "408-251-3070",
            "fax_number": "408-251-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-251-3070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18445H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Jose, CA
• Providers in San Jose, 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 Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.