PLYMOUTH SQUARE
NPI 1255336533
Skilled Nursing Facility in Stockton, CA

Active since June 14, 2005
1319 N MADISON ST, STOCKTON, CA 95202(209) 466-4341(209) 466-8853 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Plymouth Square NPPES

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

PLYMOUTH SQUARE (NPI 1255336533) is a healthcare organization registered as a skilled nursing facility in Stockton, California and active in the NPI registry since June 2005. The organization lists Stuart Hartman, V.p. Of Operations, as its authorized official.

NPPES Registry Identity

NPI1255336533
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTOCKTON CONGREGATIONAL HOMES
Location Address1319 N MADISON STStockton, CA 95202-1047
Mailing Address1319 N Madison StStockton, CA 95202-1047 · (209) 466-4341 · Fax (209) 466-8853
Fax(209) 466-8853
Organization SubpartNo
Authorized OfficialStuart HartmanV.p. Of Operations · (562) 257-5100
Enumeration DateJune 14, 2005
Last NPPES UpdateSeptember 16, 2014
NPI 1255336533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 100000076
Definition

(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.

1319 N MADISON ST, Stockton, CA 95202

Other Names 1

Doing Business AsPlymouth Square

Other Identifiers 3

Medicaid1255336533CA
Other390300536CA · Rcfe
Medicare OSCAR/certification555692CA

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Assisted Living Facility
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapy Assistant
1319 N MADISON ST
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapist
1319 N MADISON ST, PLYMOUTH SQUARE
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202

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 Stockton Congregational Homes's NPI number?

The NPI number for Stockton Congregational Homes is 1255336533. It was assigned to this organization in the NPPES registry on June 14, 2005. The provider is doing business as Plymouth Square.

Where is Stockton Congregational Homes located?

Stockton Congregational Homes is located at 1319 N Madison St, Stockton, CA 95202. The listed phone number is (209) 466-4341.

What is Stockton Congregational Homes's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Stockton Congregational Homes was last updated on September 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.