Provider Demographics
NPI:1851307540
Name:CORINTHIAN CARE CENTER
Entity Type:Organization
Organization Name:CORINTHIAN CARE CENTER
Other - Org Name:CORINTHIAN HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/LICENSEE
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:TOLEDO
Authorized Official - Last Name:KEMPIS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING HOME ADMINIS
Authorized Official - Phone:650-296-0607
Mailing Address - Street 1:18460 ALLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5233
Mailing Address - Country:US
Mailing Address - Phone:408-364-1916
Mailing Address - Fax:408-364-1480
Practice Address - Street 1:18460 ALLENDALE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5233
Practice Address - Country:US
Practice Address - Phone:408-364-1916
Practice Address - Fax:408-364-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities