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MILLBRAE MANOR, ICF
NPI 1144524455
Nursing Facility/Intermediate Care Facility in Millbrae, CA

Active since December 29, 2010
1001 HEMLOCK AVE, MILLBRAE, CA 94030(650) 689-5778(650) 689-5783 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millbrae Manor, Icf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLBRAE MANOR, ICF (NPI 1144524455) is a healthcare organization registered as a nursing facility/intermediate care facility in Millbrae, California and active in the NPI registry since December 2010. The organization lists Amparo B Ragudo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144524455
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMILLBRAE MANOR, INC
Location Address1001 HEMLOCK AVEMillbrae, CA 94030-2046
Mailing Address5330 Arezzo DrSan Jose, CA 95138-2201 · (408) 315-9294 · Fax (408) 226-3800
Phone(650) 689-5778
Fax(650) 689-5783
Organization SubpartNo
Authorized OfficialAmparo B RagudoCfo · (408) 315-9294
Enumeration DateDecember 29, 2010
✔ NPI 1144524455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1001 HEMLOCK AVE, Millbrae, CA 94030
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Other Names 1

Doing Business AsMillbrae Manor, Icf

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILLBRAE ASSISTED LIVING CENTER LLC
Assisted Living Facility
1001 HEMLOCK AVE
MILLBRAE, CA 94030
San Mateo County (650) 689-5776
MILLBRAE ASSISTED LIVING HOME LLC
Assisted Living Facility
1001 HEMLOCK AVE
MILLBRAE, CA 94030
San Mateo County (650) 689-5776
A & C HEALTH CARE SERVICES
Assisted Living Facility
1001 HEMLOCK AVE
MILLBRAE, CA 94030
San Mateo County (650) 588-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millbrae Manor, Inc's NPI number?

The NPI number for Millbrae Manor, Inc is 1144524455. It was assigned to this organization in the NPPES registry on December 29, 2010. The provider is doing business as Millbrae Manor, Icf.

Where is Millbrae Manor, Inc located?

Millbrae Manor, Inc is located at 1001 Hemlock Ave, Millbrae, CA 94030. The listed phone number is (650) 689-5778.

What is Millbrae Manor, Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Millbrae Manor, Inc was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.