PARKSIDE VILLA INC. (NPI# 1033767215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033767215 |
| Entity Type | Organization |
| Organization Name | PARKSIDE VILLA INC. |
| Practice Address |
300 S 22nd St San Jose CA 95116-2727 |
| Practice Telephone | 5109150629 |
| Mailing Telephone | 4088317411 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MRS. MARIE JAN FORONDA-CAYABYAB (PRESIDENT) |
| Authorized Official Telephone | 4088317411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Parkside Villas II | Doing Business As Name - Organization |
| Street Address |
300 S 22ND ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450550 | Marie Jan Foronda-cayabyab | Nursing Home Administrator | 300 S 22nd St, San Jose, CA 95116-2727 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672789 | Half Moon Bay Holdings LLC | Assisted Living Facility | 5425 Mayme Ave, San Jose, CA 95129-4833 | 2020-09-04 |
| 1174020879 | Diya Senior Care Corp | Assisted Living Facility | 276 Clearpark Cir, San Jose, CA 95136-2308 | 2018-04-09 |
| 1912423203 | Ladwig Inc | Assisted Living Facility | 683 Undajon Dr, San Jose, CA 95133-1736 | 2017-08-17 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1447787478 | Golden Oak Care, Inc | Assisted Living Facility | 2761 Castleton Dr, San Jose, CA 95148-3509 | 2017-05-22 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1336684216 | Diana Fontanilla | Assisted Living Facility | 259 Checkers Dr, San Jose, CA 95116-1348 | 2016-12-30 |
| 1407390875 | Saint Anthony's Care Home for The Elderly | Assisted Living Facility | 3258 Evco Ct, San Jose, CA 95127-1502 | 2016-12-05 |
| 1568905958 | Angels Manor Care Home | Assisted Living Facility | 1021 Heatherfield Ln, San Jose, CA 95132-2931 | 2016-12-02 |
| 1003365180 | Evangelina Jacy | Assisted Living Facility | 1820 Bethany Ave, San Jose, CA 95132-1514 | 2016-09-29 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.