Healthcare Provider Details

I. General information

NPI: 1013865047
Provider Name (Legal Business Name): SAINT JARRIELLE RESIDENTIAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

768 LUNDY WAY
PACIFICA CA
94044-2923
US

IV. Provider business mailing address

768 LUNDY WAY
PACIFICA CA
94044-2923
US

V. Phone/Fax

Practice location:
  • Phone: 650-557-1227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE MELODSANTOS
Title or Position: CEO
Credential:
Phone: 415-424-8409