# SAN MATEO CONVALESCENT HOSPITAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114053220
- **Authorized official:** MS. PATRICIA A BARNES (ADMINISTRATOR)
- **Authorized official phone:** (650) 342-6255

## Contact information

- **Practice address:** 453 N SAN MATEO DR, SAN MATEO, CA 94401-2453
- **Practice address phone:** (650) 342-6255
- **Practice address fax:** (650) 342-4812
- **Mailing address:** 453 N SAN MATEO DR, SAN MATEO, CA 94401-2453
- **Mailing address phone:** (650) 342-6255
- **Mailing address fax:** (650) 342-4812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 02/24/2007
- **Last updated:** 08/22/2020