MILLS PENINSULA EXTENDED CARE – NPI #1891739298
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

MILLS PENINSULA EXTENDED CARE is a skilled nursing facility (SNF) located in SAN MATEO, CA. NPPES has assigned the NPI number 1891739298 to MILLS PENINSULA EXTENDED CARE on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MILLS PENINSULA EXTENDED CARE” is a dba name, the actual legal business name for this organization is MILLS-PENINSULA HEALTH SERVICES. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 12 years ago on Feb 27, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MILLS PENINSULA EXTENDED CARE below.

NPI Profile for
MILLS-PENINSULA HEALTH SERVICES

NPI Number
1891739298
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MILLS-PENINSULA HEALTH SERVICES
Doing Business As (dba): MILLS PENINSULA EXTENDED CARE
Primary location
101 SO SAN MATEO DR
SAN MATEO, CA 94401-3805
Phone: (650) 696-5400 Fax: (696) 652-3052
Mailing address
PO BOX 742738
LOS ANGELES, CA 90074-2738
Phone: (650) 696-5400 Fax: (696) 652-3052
Organization Subpart
No
Authorized Official
BRIAN HUNTER
VP SHARED SERVICES
Phone: (916) 297-8555
Updated
Identifiers

Identifiers for MILLS PENINSULA EXTENDED CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCALTC55482F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
CA 555482

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.