Peninsula Convalescent Associates LLC
Skilled Nursing Facility in Belmont, CA. Organization (NPI-2).
NPI number1386732006
StatusActive
Last updated in NPPESDec 6, 2012
Details
- NPI
- 1386732006
- Entity type
- Organization (NPI-2)
- Legal business name
- Peninsula Convalescent Associates LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Dec 6, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 220000004 | CA | Yes |
Other names
- Carlmont Gardens Nursing Center (Doing Business As)
Practice location
2140 Carlmont DrBelmont, CA 94002-3417
Phone 650-591-9601 · Fax 650-591-2446
Mailing address
2140 Carlmont DrBelmont, CA 94002-3417
Phone 650-591-9601 · Fax 650-591-2446
Authorized official
Linda Ann Vieira
Controller
6505919601
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