# BELLEROSE CONVALESCENT HOSPITAL

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

## Provider details

- **NPI number:** 1811097694
- **Authorized official:** MR. BRIAN JONATHAN RIVERA (ADMINISTRATOR)
- **Authorized official phone:** (408) 286-4161

## Contact information

- **Practice address:** 100 BELLEROSE DR, SAN JOSE, CA 95128-1701
- **Practice address phone:** (408) 286-4161
- **Practice address fax:** (408) 286-6705
- **Mailing address:** 100 BELLEROSE DR, SAN JOSE, CA 95128-1701
- **Mailing address phone:** (408) 286-4161
- **Mailing address fax:** (408) 286-6705

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90002H | — | CA |