Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emerald Blossom Manor, LLC

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1346714425

Emerald Blossom Manor, LLC is an Intellectual Disabilities Intermediate Care Facility in San Jose, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5301 Gerine Blossom Dr
San Jose, CA 95123-2118
Phone: (669) 234-3344
Fax: (669) 500-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1346714425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Kilthau — Licensee · (669) 234-3344
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJanuary 11, 2019
Mailing address5301 Gerine Blossom Dr, San Jose, CA 95123-2118

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