TY FIVE STAR CORPORATION NPI 1235267972

NPI Information

  • NPI: 1235267972
  • Provider Name: TY FIVE STAR CORPORATION
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
  • Address: 1652 MONO AVE
    SAN LEANDRO, CA
    ZIP 94578
  • Phone: (510) 317-7360

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NPI Details

TY FIVE STAR CORPORATION is a skilled nursing facility in San Leandro, CA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. TY FIVE STAR CORPORATION NPI is 1235267972. The provider is registered as an organization entity type.
The provider Is Doing Business As All Saints Subacute And Rehabilitation Center.

The provider's business location address is:

1652 MONO AVE
SAN LEANDRO, CA
ZIP 94578-020
Phone: (510) 317-7360

The provider's authorized official is James Preimesberger .
The authorized official title is President and has the following contact phone number (213) 709-4887.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 2/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies020000050CALIFORNIANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition020000050CALIFORNIANo
3314000000XSkilled Nursing Facility020000050CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155-5809MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
2020000050OTHERCALIFORNIASNF LICENSE NUMBER
35475400001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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