# PENINSULA CONVALESCENT ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARLMONT GARDENS NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386732006
- **Authorized official:** LINDA ANN VIEIRA (CONTROLLER)
- **Authorized official phone:** (650) 591-9601

## Contact information

- **Practice address:** 2140 CARLMONT DR, BELMONT, CA 94002-3417
- **Practice address phone:** (650) 591-9601
- **Practice address fax:** (650) 591-2446
- **Mailing address:** 2140 CARLMONT DR, BELMONT, CA 94002-3417
- **Mailing address phone:** (650) 591-9601
- **Mailing address fax:** (650) 591-2446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000004 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 12/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55657G | — | CA |