Emerald Blossom Manor, LLC.
NPI 1346714425 · Intellectual Disabilities Intermediate Care Facility · San Jose, CA
Emerald Blossom Manor, LLC. is a Intellectual Disabilities Intermediate Care Facility organization in San Jose, CA (NPI 1346714425).
Provider details
- NPI number
- 1346714425
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Kilthau, Licensee(669) 234-3344
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-11
- Last updated
- 2019-01-11
Frequently asked questions
- What is Emerald Blossom Manor, LLC.'s NPI number?
- Emerald Blossom Manor, LLC.'s National Provider Identifier (NPI) is 1346714425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Blossom Manor, LLC.?
- Emerald Blossom Manor, LLC. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Emerald Blossom Manor, LLC. located?
- Emerald Blossom Manor, LLC.'s practice location on file with NPPES is 5301 Gerine Blossom Dr, San Jose, CA 95123-2118.
- What is Emerald Blossom Manor, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Emerald Blossom Manor, LLC. is (669) 234-3344.
- Who is the authorized official for Emerald Blossom Manor, LLC.?
- The authorized official listed on Emerald Blossom Manor, LLC.'s NPPES record is Wayne Kilthau, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Blossom Manor, LLC.'s NPI active?
- Yes — Emerald Blossom Manor, LLC.'s NPI (1346714425) is active in the NPPES registry as of the last update on 2019-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.