SKYLINE HEALTHCARE CENTER - SAN JOSE
NPI 1780972463
Skilled Nursing Facility in San Jose, CA

Active since July 15, 2011CLIA 05D0878857 · Waiver
2065 FOREST AVE, SAN JOSE, CA 95128(408) 280-2500(408) 298-1229 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skyline Healthcare Center - San Jose NPPES

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

SKYLINE HEALTHCARE CENTER - SAN JOSE (NPI 1780972463) is a healthcare organization registered as a skilled nursing facility in San Jose, California and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Andrea Saavedra, Regional Financial Analyst, as its authorized official.

NPPES Registry Identity

NPI1780972463
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSKYLINE SAN JOSE OPERATING COMPANY, LP
Location Address2065 FOREST AVESan Jose, CA 95128-4807
Mailing Address2065 Forest AveSan Jose, CA 95128-4807 · (408) 280-2500 · Fax (408) 298-1228
Fax(408) 298-1229
Organization SubpartNo
Authorized OfficialAndrea SaavedraRegional Financial Analyst · (707) 208-1940
Enumeration DateJuly 15, 2011
Last NPPES UpdateOctober 22, 2014
NPI 1780972463 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 · 070000110
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.
2065 FOREST AVE, San Jose, CA 95128

Other Names 1

Doing Business AsSkyline Healthcare Center - San Jose

Other Identifiers 1

Medicare OSCAR/certification055318CA

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 05D0878857

Skyline Health Care Center · San Jose, CA
Active · expires Nov 7, 2027
CLIA Number05D0878857
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorGary W. Steinke MD
Laboratory Phone(408) 280-2500
Laboratory LocationSkyline Health Care Center2065 Forest Avenue, San Jose, CA 95128
CLIA data matches this NPI record on: Address Phone
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.

Skilled Nursing Facility
2065 FOREST AVE
SAN JOSE, CA 95128

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 Skyline San Jose Operating Company, LP's NPI number?

The NPI number for Skyline San Jose Operating Company, LP is 1780972463. It was assigned to this organization in the NPPES registry on July 15, 2011. The provider is doing business as Skyline Healthcare Center - San Jose.

Where is Skyline San Jose Operating Company, LP located?

Skyline San Jose Operating Company, LP is located at 2065 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 280-2500.

What is Skyline San Jose Operating Company, LP's specialty?

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

Does Skyline San Jose Operating Company, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0878857) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skyline San Jose Operating Company, LP was last updated on October 22, 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.