DIYA SENIOR CARE CORP (NPI# 1174020879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174020879 |
| Entity Type | Organization |
| Organization Name | DIYA SENIOR CARE CORP |
| Other Organization Name | DIYA SENIOR CARE HOME |
| Practice Address |
276 Clearpark Cir San Jose CA 95136-2308 |
| Practice Telephone | 4088321153 |
| Practice Fax Number | 4086452928 |
| Mailing Telephone | 4088321153 |
| Mailing Fax Number | 4086452928 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | BANI KAUR (LICENSEE/CEO) |
| Authorized Official Telephone | 4088321153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 435202599 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Diya Senior Care Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584903 | Diya Senior Care Corp | Assisted Living Facility | 366 Lassenpark Cir, San Jose, CA 95136-2159 | 2018-07-13 |
| Street Address |
276 CLEARPARK CIR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
| 1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
| 1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
| 1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
| 1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
| Find all providers in zip 95136 | ||||
| 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 |
| 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 |
| 1609232438 | Kimberly's Elder Kare Kottage | Assisted Living Facility | 2770 Moorpark Ave, San Jose, CA 95128-3153 | 2016-01-08 |
| 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.