Provider Demographics
NPI:1750846655
Name:JAMES COURT MANOR INC.
Entity Type:Organization
Organization Name:JAMES COURT MANOR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-996-5422
Mailing Address - Street 1:1713 TROLLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1328
Mailing Address - Country:US
Mailing Address - Phone:650-996-5422
Mailing Address - Fax:650-240-3562
Practice Address - Street 1:1316 JAMES COURT
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-347-7619
Practice Address - Fax:650-240-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility