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PLYMOUTH SQUARE
NPI 1447662507
Assisted Living Facility in Stockton, CA

Active since May 23, 2014
1319 N MADISON ST, STOCKTON, CA 95202(209) 466-4341(209) 466-8853 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plymouth Square NPPES

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

PLYMOUTH SQUARE (NPI 1447662507) is a healthcare organization registered as an assisted living facility in Stockton, California and active in the NPI registry since May 2014. The organization lists Laverne Joseph, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447662507
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTOCKTON CONGREGATIONAL HOMES
Location Address1319 N MADISON STStockton, CA 95202-1001
Mailing Address1319 N Madison StStockton, CA 95202-1001 · (209) 466-4341 · Fax (209) 466-8853
Phone(209) 466-4341
Fax(209) 466-8853
Organization SubpartNo
Authorized OfficialLaverne JosephCeo · (562) 257-5101
Enumeration DateMay 23, 2014
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1447662507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 390300536
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1319 N MADISON ST, Stockton, CA 95202
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Other Names 1

Doing Business AsPlymouth Square

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.

CINDY GUOY
Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
MARY JANE JANE TIPLES
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
MARTHA SAKAKURA
Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 996-1037
STOCKTON CONGREGATIONAL HOMES
Skilled Nursing Facility
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
ENAMULHAQ MIRZAY COTA
Occupational Therapy Assistant
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
JOSE REY GONZALES PT
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
JILL ALBINTO GONZALES
Occupational Therapist
1319 N MADISON ST, PLYMOUTH SQUARE
STOCKTON, CA 95202
San Joaquin County (209) 466-4341
KIRAN RAMBHATLA PT
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
San Joaquin County (209) 466-4341

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 1447662507. It was assigned to this organization in the NPPES registry on May 23, 2014. 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 Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Stockton Congregational Homes was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.