A & C Healthcare Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

A & C HEALTHCARE SERVICES, INC.

Doing business as

Camden Convalescent Hospital

Practice address

1331 Camden Avenue
Campbell, CA 95008-6701

Phone

(408) 377-4030

Fax

(408) 369-0308

NPI assigned

Jul 31, 2006

Last updated

Aug 4, 2015By 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

Mr. Maneesh Bansal, M.D.

Title

Ceo

Phone

(562) 924-9618

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Camden Convalescent Hospital 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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1811902299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CAMDEN AVENUE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086701",
            "telephone_number": "408-377-4030",
            "fax_number": "408-369-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 CAMDEN AVENUE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086701",
            "telephone_number": "408-377-4030",
            "fax_number": "408-369-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & C HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-924-9618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000020",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR184391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Campbell, CA
• Providers in Campbell, 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 4, 2015; 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.