Emerald Blossom Manor, LLC.
NPI 1346714425ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· San Jose, CA
Intermediate Care Facility, Intellectual Disabilities in San Jose, California, registered in NPPES in January 2019. The authorized official on file is Wayne Vincent Kilthau, Licensee.
Overview
| NPI | 1346714425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2019 |
| Last updated in NPPES | Jan 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Intermediate Care Facility, Intellectual Disabilities providers in San Jose
- 1003027491
- 1053527937
- 1083825541
- 1114138476
- 1205019767
- 1205962107
- 1205987864
- 1245380146
- 1295947216
- 1396509683
- 1396995072
- 1407067937
All 32 Intermediate Care Facility, Intellectual Disabilities providers in San Jose · All Intermediate Care Facility, Intellectual Disabilities providers in California