James Court Manor

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

220000373 Issued in CA

Legal business name

JAMES COURT MANOR

Practice address

1316 James CT
San Mateo, CA 94401-3177

Phone

(650) 347-7619

NPI assigned

Apr 1, 2008

Organization subpart

Yes

Parent organization

YTR HOMES ICF/DD-H INC.As reported in NPPES

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

Authorized official

Name

Ms. Yolanda Ruiz

Title

Licensee/Cfo

Phone

(650) 347-7619

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

James Court Manor3 organizations share this tax ID, including this one

Part of

James Court Manor

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Casa Nova Icf/DD-H

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Mateo, CA
  • NPI 1982876702
  NPD tax ID
• The Lyons Manor

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Redwood City, CA
  • NPI 1912179805
  NPD tax ID

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1730351545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JAMES CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013177",
            "telephone_number": "650-347-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JAMES CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013177",
            "telephone_number": "650-347-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES COURT MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YTR HOMES ICF/DD-H INC.",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "LICENSEE/CFO",
        "authorized_official_telephone_number": "650-347-7619",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "220000373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC 60856F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Frances Jacobson, MD
• Briana Luisa Jacome Ayar
• Erendida Jaime
• Somya Jalan, MD
• James Chen Orthodontics Professional Corporation
• James Court Manor Inc.
• Noo-Me-Koy James
• Jane Vu Ferrera DDS
• Yoonsun Jang
• Shahnaz Jangi, D.C.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.