Palm Haven Nursing & Rehab LLC
NPI 1629097761 · Skilled Nursing Facility · Manteca, CA
Palm Haven Nursing & Rehab LLC is a Skilled Nursing Facility organization in Manteca, CA (NPI 1629097761).
Provider details
- NPI number
- 1629097761
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Pallivathucal, General Manager(209) 823-1788
- License
- 100000071 (CA)
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
19 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
Other names (DBA / former)
- Doing business as
- St Jude Care Center
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2015-12-22
Frequently asked questions
- What is Palm Haven Nursing & Rehab LLC's NPI number?
- Palm Haven Nursing & Rehab LLC's National Provider Identifier (NPI) is 1629097761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palm Haven Nursing & Rehab LLC?
- Palm Haven Nursing & Rehab LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Palm Haven Nursing & Rehab LLC located?
- Palm Haven Nursing & Rehab LLC's practice location on file with NPPES is 469 E North St, Manteca, CA 95336.
- What is Palm Haven Nursing & Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for Palm Haven Nursing & Rehab LLC is (209) 823-1788.
- Who is the authorized official for Palm Haven Nursing & Rehab LLC?
- The authorized official listed on Palm Haven Nursing & Rehab LLC's NPPES record is Joseph Pallivathucal, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palm Haven Nursing & Rehab LLC's NPI active?
- Yes — Palm Haven Nursing & Rehab LLC's NPI (1629097761) is active in the NPPES registry as of the last update on 2015-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.