McClure Convalescent Hospital and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000064 Issued in CA

Legal business name

MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.

Practice address

2910 McClure St
Oakland, CA 94609-3505

Phone

(510) 836-3677

Fax

(510) 836-1938

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

James Preimesberger

Title

President

Phone

(925) 855-0881

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1922090091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EXECUTIVE PKWY",
            "address_2": "SUITE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834210",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MCCLURE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093505",
            "telephone_number": "510-836-3677",
            "fax_number": "510-836-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-855-0881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000064",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "020000064",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "020000064",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "020000064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR55067G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew McClintock Greenberg, M.D., PHD.
• Kevin McClintock, ATC
• Madeline McClinton
• Autumn McCloskey
• Shelby McClure Behrens
• Ella McClure, SLPA
• Nicole McClure
• Tamahtra Marcia McClure
• McClureidence Opco, LLC
• Erica Q McConico

• Skilled Nursing Facility in Oakland, CA
• Providers in Oakland, 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 Feb 13, 2014; 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.