Provider Demographics
NPI:1982842894
Name:MOURI MANAGEMENT GROUP INCORPORATED
Entity Type:Organization
Organization Name:MOURI MANAGEMENT GROUP INCORPORATED
Other - Org Name:SHINRAI HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-531-9126
Mailing Address - Street 1:3220 FLINTDALE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-1231
Mailing Address - Country:US
Mailing Address - Phone:408-531-9126
Mailing Address - Fax:408-531-9020
Practice Address - Street 1:187 N WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-1940
Practice Address - Country:US
Practice Address - Phone:408-729-0121
Practice Address - Fax:408-729-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities