BROOKSIDE SKILLED NURSING
NPI 1952393076
Skilled Nursing Facility in San Mateo, CA

Active since August 16, 2005CLIA 05D0726468 · Waiver
5/5
Overall Rating
2620 FLORES ST, SAN MATEO, CA 94403(650) 349-2161(650) 349-4510 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookside Skilled Nursing NPPES

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

BROOKSIDE SKILLED NURSING (NPI 1952393076) is a healthcare organization registered as a skilled nursing facility in San Mateo, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jeremy E Grimes, Manager, as its authorized official.

NPPES Registry Identity

NPI1952393076
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST JOHNS VOLUNTEERS
Location Address2620 FLORES STSan Mateo, CA 94403-2320
Mailing Address5000 Executive Pkwy, Suite 150San Ramon, CA 94583-4210 · (925) 855-0881 · Fax (925) 855-9297
Fax(650) 349-4510
Organization SubpartNo
Authorized OfficialJeremy E GrimesManager · (925) 855-0881
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 23, 2011
NPI 1952393076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 220000171
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 220000171 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 220000171 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 220000171 (CA)
2620 FLORES ST, San Mateo, CA 94403

Other Names 1

Doing Business AsBrookside Skilled Nursing

Other Identifiers 3

Medicare NSC1196700001CA
MedicaidZZR05188GCA
Medicare ID-Type Unspecified05-5188CA

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 05D0726468

Brookside Skilled Nursing Hospital · San Mateo, CA
Active · expires Aug 31, 2026
CLIA Number05D0726468
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStanley G. Coppel
Laboratory Phone(415) 349-2161
Laboratory LocationBrookside Skilled Nursing Hospital2620 Flores St, San Mateo, CA 94403
CLIA data matches this NPI record on: Address Name
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 Brookside Skilled Nursing Hospital (CMS certification number 055188), from CMS Care Compare.

Brookside Skilled Nursing Hospital

Nursing home · San Mateo, CA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number055188
Certified Beds96 beds65 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
5/5
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
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 2.95 · LPN 0.82 · RN 0.64
4.41 hrs per resident per day
Weekend Nurse Staffing
3.96 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.
36.7%
Registered Nurse Turnover
33.3%
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
0
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Occupational Therapist
2620 FLORES ST
SAN MATEO, CA 94403

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 St Johns Volunteers's NPI number?

The NPI number for St Johns Volunteers is 1952393076. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Brookside Skilled Nursing.

Where is St Johns Volunteers located?

St Johns Volunteers is located at 2620 Flores St, San Mateo, CA 94403. The listed phone number is (650) 349-2161.

What is St Johns Volunteers's specialty?

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

Does St Johns Volunteers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0726468) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St Johns Volunteers a Medicare-certified nursing home?

Yes. Brookside Skilled Nursing Hospital is a Medicare-certified nursing home with 96 certified beds.

What quality rating does St Johns Volunteers have?

CMS rates Brookside Skilled Nursing Hospital 5 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 St Johns Volunteers was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.