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SOUTH COUNTY RETIREMENT HOME
NPI 1306280839
Assisted Living Facility - Assisted Living, Mental Illness in San Martin, CA

Active since April 26, 2013
460 CHURCH AVE, SAN MARTIN, CA 95046(408) 683-0229(408) 683-0278 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South County Retirement Home NPPES

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

SOUTH COUNTY RETIREMENT HOME (NPI 1306280839) is a healthcare organization registered as an assisted living, mental illness in San Martin, California and active in the NPI registry since April 2013. The organization lists Samuel Calma Apostol, Licensee, as its authorized official.

NPPES Registry Identity

NPI1306280839
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSOUTH COUNTY RETIREMENT HOME
Location Address460 CHURCH AVESan Martin, CA 95046-9778
Mailing Address460 Church AveSan Martin, CA 95046-9778 · (408) 683-0229 · Fax (408) 683-0278
Phone(408) 683-0229
Fax(408) 683-0278
Organization SubpartNo
Authorized OfficialSamuel Calma ApostolLicensee · (408) 683-0229
Enumeration DateApril 26, 2013
✔ NPI 1306280839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in CA · 435294143
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 435294143 (CA)
460 CHURCH AVE, San Martin, CA 95046
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2140861

Santa Clara County South County Clinic · San Martin, CA
Expired · Nov 30, 2025
CLIA Number05D2140861
Laboratory TypeMethadone Clinic
Certificate Effective DateDecember 1, 2023
Certificate Expiration DateNovember 30, 2025
Laboratory DirectorCheryl Ho
Laboratory Phone(408) 272-6073
Laboratory LocationSanta Clara County South County Clinic90 Highland Ave Building J, San Martin, CA 95046
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SAMUEL C APOSTOL ADM
Assisted Living Facility (Assisted Living, Mental Illness)
460 CHURCH AVE
SAN MARTIN, CA 95046
Santa Clara County (408) 439-1962

Frequently Asked Questions

What is SOUTH COUNTY RETIREMENT HOME's NPI number?

The NPI number assigned to this healthcare provider is 1306280839, enumerated as an "organization" on April 26, 2013.

Where is the provider located?

The provider is located at 460 CHURCH AVE SAN MARTIN, CA 95046 and the phone number is (408) 683-0229.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.