GOOD SAMARITAN REHAB & CARE CENTER
NPI 1548283542
Skilled Nursing Facility in Stockton, CA

Active since July 25, 2006CLIA 05D0879226 · Waiver
4/5
Overall Rating
1630 N. EDISON ST., STOCKTON, CA 95204(209) 948-8762(209) 948-8503 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Good Samaritan Rehab & Care Center NPPES

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

GOOD SAMARITAN REHAB & CARE CENTER (NPI 1548283542) is a healthcare organization registered as a skilled nursing facility in Stockton, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Praxedes Demesa Bernabe, President, as its authorized official.

NPPES Registry Identity

NPI1548283542
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTOCKTON EDISON HEALTHCARE CORPORATION
Location Address1630 N. EDISON ST.Stockton, CA 95204
Mailing Address1630 N. Edison StreetStockton, CA 95204 · (209) 948-8762 · Fax (818) 541-7072
Fax(209) 948-8503
Organization SubpartNo
Authorized OfficialPraxedes Demesa BernabePresident · (209) 948-8762
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1548283542 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 · 230000012
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.
1630 N. EDISON ST., Stockton, CA 95204

Other Names 1

Doing Business AsGood Samaritan Rehab & Care Center

Other Identifiers 2

Medicare UPIN055039CA
MedicaidZZR05039JCA

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 05D0879226

Good Samaritan Rehab And Care Center · Stockton, CA
Active · expires Nov 14, 2027
CLIA Number05D0879226
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorLilia Cavero Rn
Laboratory Phone(209) 948-8762
Laboratory LocationGood Samaritan Rehab And Care Center1630 N Edison St, Stockton, CA 95204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Samaritan Rehab And Care Center (CMS certification number 055039), from CMS Care Compare.

Good Samaritan Rehab And Care Center

Nursing home · Stockton, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number055039
Certified Beds98 beds79 residents per day on average
Medicare & Medicaid Participant SinceJanuary 11, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
58.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.69 · LPN 1.12 · RN 0.61
4.42 hrs per resident per day
Weekend Nurse Staffing
3.87 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
22.7%
Registered Nurse Turnover
38.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Fines
2 totaling $7,748.48
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Edison Healthcare Corporation's NPI number?

The NPI number for Stockton Edison Healthcare Corporation is 1548283542. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Good Samaritan Rehab & Care Center.

Where is Stockton Edison Healthcare Corporation located?

Stockton Edison Healthcare Corporation is located at 1630 N. Edison St., Stockton, CA 95204. The listed phone number is (209) 948-8762.

What is Stockton Edison Healthcare Corporation's specialty?

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

Does Stockton Edison Healthcare Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0879226) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Stockton Edison Healthcare Corporation a Medicare-certified nursing home?

Yes. Good Samaritan Rehab And Care Center is a Medicare-certified nursing home with 98 certified beds.

What quality rating does Stockton Edison Healthcare Corporation have?

CMS rates Good Samaritan Rehab And Care Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Stockton Edison Healthcare Corporation was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.