Active NPI
Caremeridian, LLC
- Skilled Nursing Facility
- Pleasanton, CA
National Provider Identifier
1942636634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CAREMERIDIAN, LLC
- Practice address
- 446 Sycamore Road
Pleasanton, CA 94566 - Phone
- (925) 965-8112
- Fax
- (925) 461-2335
- NPI assigned
- Sep 25, 2013
- Organization subpart
- Yes
- Parent organization
- NATIONAL MENTOR HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Shea
- Title
- Director of Finance
- Phone
- (617) 688-5251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
446 Sycamore Road
Pleasanton, CA 94566
Mailing address
163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 794-0787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550002309 | Other | CA | CDPH LICENSE |
Other names 1
- Neurorestorative
National Provider Directory
National Provider Directory- Tax ID family
- Caremeridian LLC
- Part of
- California Mentor
Other organizations with this tax ID 39
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566086400000",
"number": "1942636634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 TECHNOLOGY DR STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182486",
"telephone_number": "949-794-0787",
"fax_number": "949-266-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 SYCAMORE ROAD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94566",
"telephone_number": "925-965-8112",
"fax_number": "925-461-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMERIDIAN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE",
"enumeration_date": "2013-09-25",
"last_updated": "2019-08-18",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "617-688-5251"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPH LICENSE",
"identifier": "550002309",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurorestorative",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.