GHC OF SAN JOSE, LLC
Skilled Nursing Facility
San Jose, California
Provider NPI: 1104820562
Organization Information:Organization Name: GHC OF SAN JOSE, LLC
Practice Location:
120 JOSE FIGUERES AVE SAN JOSE, CA 95116 US
Tel: 408-272-1400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
120 JOSE FIGUERES AVE SAN JOSE, CA 95116 US
Tel: 408-272-1400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 070000210 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC55483G | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin