Provider Type Icon

SAN BRUNO SKILLED NURSING HOSPITAL INC. NPI 1346232469


NPI Information

NPI: 1346232469
Provider Name: SAN BRUNO SKILLED NURSING HOSPITAL, INC.

Doing Business As: SAN BRUNO SKILLED NURSING HOSPITAL

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 05D0894720

Address:
890 EL CAMINO REAL
SAN BRUNO, CA
ZIP 94066
Phone: (650) 583-7768
Get Directions

SAN BRUNO SKILLED NURSING HOSPITAL, INC. is a skilled nursing facility in San Bruno, 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. SAN BRUNO SKILLED NURSING HOSPITAL, INC. NPI is 1346232469. The provider is registered as an organization entity type.
The provider Is Doing Business As San Bruno Skilled Nursing Hospital.

The provider's business location address is:

890 EL CAMINO REAL
SAN BRUNO, CA
ZIP 94066-137
Phone: (650) 583-7768
Fax: (650) 583-9710

The provider's authorized official is James Preimesberger .
The authorized official title is President and has the following contact phone number (213) 503-4114.

The CLIA number assigned to this NPI record is 05D0894720 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2005 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies220000042CALIFORNIANo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies220000042CALIFORNIANo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition220000042CALIFORNIANo
4314000000XSkilled Nursing Facility220000042CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZR18193GMEDICAIDCALIFORNIA
25649850001MEDICARE NSCCALIFORNIA
3555276MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.