Asm Family Foundation
Organization Active NPI Skilled Nursing Facility · Milpitas, CA
NPI 1982205738 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1982205738
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ASM FAMILY FOUNDATION
- Practice address
- 120 Corning Ave
Milpitas, CA 95035-5225 - Phone
- (408) 262-0217
- Fax
- (408) 262-1619
- NPI assigned
- Nov 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Miss Helen Maranan Macatangay, RN
- Title
- President/Ceo
- Phone
- (510) 378-5167
Corporate family (same tax ID) 1
Practitioners 1
Medicare Care Compare: Nursing home
- Listed as
- Milpitas Care Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 27, 2000
- Medicare certification status
- Active
- Certified beds
- 35 · 30.6 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $20,051
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555757
- Legal name
- ASM FAMILY FOUNDATION
- Doing business as
- MILPITAS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 27, 2000
- Last certification
- Mar 1, 2024
- Beds
- 35
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 5, 2020 in CA
- Enrollment address
- 120 Corning Ave
Milpitas, CA 95035-5225 - Nursing home name
- MILPITAS CARE CENTER
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Adelona Perry |
Corporate Officer |
Jun 16, 2020 | 100% |
| Gina Corro |
W-2 Managing Employee |
Jun 16, 2020 | 100% |
| Helen M. Macatangay |
5% Or Greater Direct Ownership Interest |
Jun 16, 2020 | 100% |
| Asm Family Foundation |
5% Or Greater Direct Ownership Interest | Jun 16, 2020 | 100% |
| Operational/Managerial Control | Jun 16, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210608002035 | CA | Part a Provider - Skilled Nursing Facility | 9638579949 | Practice locations: Milpitas, CA |
National Provider Directory
- Tax ID family
- Asm Family Foundation
Locations
120 Corning Ave
Milpitas, CA 95035
Phone (408) 262-0217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
120 Corning Ave
Milpitas, CA 95035-5225
Mailing address
4049 1St St Ste 229
Livermore, CA 94551-5363
Phone (510) 378-5167
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55775 | Medicaid | CA |
Other names
- Milpitas Care Center
Other providers in Milpitas, CA
- Benita Anvieh
- Maryhazel Apiado
- Massoud Arefi
- Allison Argabright
- Asm Family Foundation
- Aurora Dentistry, Inc
- Lucy L Austin
- Iraida Lizet Avena
- Swe Swe W. Aye
- Nicole Monique Azevedo
All providers in Milpitas, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.