ST JUDE CARE CENTER
NPI 1629097761
Skilled Nursing Facility in Manteca, CA

Active since July 19, 2006
469 E NORTH ST, MANTECA, CA 95336(209) 823-1788(209) 823-9809 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Jude Care Center NPPES

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

ST JUDE CARE CENTER (NPI 1629097761) is a healthcare organization registered as a skilled nursing facility in Manteca, California and active in the NPI registry since July 2006. The organization lists Joseph Pallivathucal, General Manager, as its authorized official.

NPPES Registry Identity

NPI1629097761
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePALM HAVEN NURSING & REHAB LLC
Location Address469 E NORTH STManteca, CA 95336
Mailing Address469 E North StManteca, CA 95336 · (209) 823-1788 · Fax (209) 823-9809
Fax(209) 823-9809
Organization SubpartNo
Authorized OfficialJoseph PallivathucalGeneral Manager · (209) 823-1788
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 22, 2015
NPI 1629097761 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 · 100000071
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.
469 E NORTH ST, Manteca, CA 95336

Other Names 1

Doing Business AsSt Jude Care Center

Other Identifiers 2

Medicare OSCAR/certification055917CA
MedicaidZZR05917HCA

Other Providers at the Same Location NPPES 6

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

Skilled Nursing Facility
469 E NORTH ST
MANTECA, CA 95336
Assisted Living Facility
469 E NORTH ST
MANTECA, CA 95336
Speech-Language Pathologist
469 E NORTH ST
MANTECA, CA 95336
Physical Therapy Assistant
469 E NORTH ST
MANTECA, CA 95336
Physical Therapist
469 E NORTH ST
MANTECA, CA 95336
Physical Therapist
469 E NORTH ST
MANTECA, CA 95336

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 Palm Haven Nursing & Rehab LLC's NPI number?

The NPI number for Palm Haven Nursing & Rehab LLC is 1629097761. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as St Jude Care Center.

Where is Palm Haven Nursing & Rehab LLC located?

Palm Haven Nursing & Rehab LLC is located at 469 E North St, Manteca, CA 95336. The listed phone number is (209) 823-1788.

What is Palm Haven Nursing & Rehab LLC'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 Palm Haven Nursing & Rehab LLC was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.