Vista Manor Nursing Center

LBN: Ghc Of San Jose, Llc
Vista Manor Nursing Center is an health care organization with primary practice located at 120 Jose Figueres Ave , San Jose CA 95116-1528. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ghc Of San Jose, Llc can be contacted via phone (408) 272-1400, or through Mastrocola, Lois via phone (714) 241-5600.

Contact Information

Primary practice address
120 Jose Figueres Ave San Jose CA 95116-1528
Phone: (408) 272-1400
Fax: (408) 272-4695
Website:
Map and Directions
Authorized official contact:
Name: Mastrocola, Lois
Phone: (714) 241-5600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 070000210 California

Profile Details

NPI number 1104820562
LBN Legal business name Ghc Of San Jose, Llc
DBA Doing business as Vista Manor Nursing Center
Authorized official Mastrocola, Lois
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated May 22nd, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104820562 NPPES
California MEDICAID LTC55483G

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