Bellerose Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BELLEROSE CONVALESCENT HOSPITAL

Practice address

100 Bellerose Dr
San Jose, CA 95128-1701

Phone

(408) 286-4161

Fax

(408) 286-6705

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Jonathan Rivera

Title

Administrator

Phone

(408) 286-4161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811097694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BELLEROSE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281701",
            "telephone_number": "408-286-4161",
            "fax_number": "408-286-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BELLEROSE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281701",
            "telephone_number": "408-286-4161",
            "fax_number": "408-286-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEROSE CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-286-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90002H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S Bell
• Jean M Bell, LCSW
• Judith Ann Bell, R.N.,M.N.
• Martha Bell
• Stephania Leigh Bell, P.T.
• Michelle Belleville, M.S., CCC-SLP
• Minerva Belleza
• Kirsys Belliard Toribio
• John Bellicitti, DC
• Gail Emily Bellman, M.D.

• 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 Aug 22, 2020; 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.