Dragonfruit Holdings, LLC
NPI 1639548308ActiveOrganization· Skilled Nursing Facility· San Jose, CA
Skilled Nursing Facility in San Jose, California, registered in NPPES in September 2015. The authorized official on file is John Mitchell, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1639548308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2015 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | CA |
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) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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