Emerald Blossom Manor, Llc.

LBN: Emerald Blossom Manor, Llc.
Emerald Blossom Manor, Llc. is an health care organization with primary practice located at 5301 Gerine Blossom Dr , San Jose CA 95123-2118. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Emerald Blossom Manor, Llc. can be contacted via phone (669) 234-3344, or through Kilthau, Wayne Vincent via phone (669) 234-3344.

Contact Information

Primary practice address
5301 Gerine Blossom Dr San Jose CA 95123-2118
Phone: (669) 234-3344
Fax: (669) 500-7377
Website:
Map and Directions
Authorized official contact:
Name: Kilthau, Wayne Vincent
Phone: (669) 234-3344

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1346714425
LBN Legal business name Emerald Blossom Manor, Llc.
DBA Doing business as
Authorized official Kilthau, Wayne Vincent
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2019
Last updated Jan 11th, 2019 - about 7 years 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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