NPIMap

Organization Active NPI

Shirley'S Care Home Inc #2

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1770760019
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SHIRLEY'S CARE HOME INC #2
Practice address
8351 Hamilton Way
Stockton, CA 95209-2212
Phone
(209) 476-7582
Fax
(209) 952-7225
NPI assigned
Jan 29, 2008
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Shirley Gapasin, RN
Title
Chief Financial Officer
Phone
(209) 607-8825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

8351 Hamilton Way
Stockton, CA 95209-2212

Mailing address

8351 Hamilton Way
Stockton, CA 95209-2212
Phone (209) 476-7582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G247

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SHIRLEY'S ICF/DD-H #2
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 28, 1999
Last certification
Oct 23, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
8351 Hamilton Way
Stockton, CA 95209

National Provider Directory

National Provider Directory
Tax ID family
Shirley'S Care Home Inc5 organizations share this tax ID, including this one
Part of
Shirley'S Care Home Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1770760019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 HAMILTON WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092212",
            "telephone_number": "209-476-7582",
            "fax_number": "209-952-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 HAMILTON WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092212",
            "telephone_number": "209-476-7582",
            "fax_number": "209-952-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S CARE HOME INC #2",
        "organizational_subpart": "YES",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "GAPASIN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-607-8825",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.