Northern California Congregational Retirement Homes, Inc

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC

Doing business as

Carmel Valley Manor

Practice address

8545 Carmel Valley Road
Carmel, CA 93923

Phone

(831) 624-1281

Fax

(831) 625-9827

NPI assigned

Jul 20, 2006

Last updated

Mar 22, 2023By 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

Jay Alan Zimmer

Title

President & Ceo

Phone

(831) 626-4707

Specialties & licenses 2

Addresses

Other names 1

• Carmel Valley Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mercedes M. Abluton, M.S. P.T.

  • Physical Therapist
  • Carmel, CA
  • NPI 1427393305
  Medicare reassignment Care Compare group NPD
• Rachel Elis

  • Social Worker
  • Salinas, CA
  • NPI 1215067038
  Medicare reassignment Care Compare group NPD
• Pablo Nicholas Veliz, M.D.

  • Family Medicine Physician
  • Monterey, CA
  • NPI 1891226825
  Medicare reassignment NPD
• Colly Tettelbach, RN, MS, MA, CPE

  • Pastoral Counselor
  • Carmel, CA
  • NPI 1568222933
  NPD
• Windsor Shane Buzza, MPT

  • Physical Therapist
  • Carmel Valley, CA
  • NPI 1619149531
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1831119049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 CARMEL VALLEY ROAD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93923",
            "telephone_number": "831-624-1281",
            "fax_number": "831-625-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 CARMEL VALLEY ROAD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93923",
            "telephone_number": "831-624-1281",
            "fax_number": "831-625-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "831-626-4707"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Valley Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmel Valley Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Kary Muth
• Matthew Neoh
• Megumi Neth, NP
• Roger Newton, M.D.
• Ethan Dinh Duy Nguyen, RPH
• Jennifer Jill Nuckton, M.P.T.
• John M Obert-Hong, MD
• Brita Ostrom, MFT
• Hiromi Ozawa, P.T.
• Samantha Hsiaochien Pang

• Geriatric Physical Therapist in Carmel, CA
• Providers in Carmel, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.