Organization
SSC SAN JOSE OPERATING COMPANY LP
Active
Other names
Courtyard Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
340 NORTHLAKE DR, SAN JOSE, CA 95117-1251
(408) 249-0344
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC556351
PREVIOUS MEDICAID NUMBER
CA
05
—
LTC55635J
—
CA
Enumeration date
03/30/2007
Last updated
11/17/2020
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