HALF MOON BAY HOLDINGS LLC (NPI# 1528672789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528672789 |
| Entity Type | Organization |
| Organization Name | HALF MOON BAY HOLDINGS LLC |
| Practice Address |
5425 Mayme Ave San Jose CA 95129-4833 |
| Mailing Address |
16885 W Bernardo Dr Ste 216 San Diego CA 92127-1620 |
| Practice Telephone | 4084553247 |
| Mailing Telephone | 8587985700 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | TOBY TILFORD (CO-CEO) |
| Authorized Official Telephone | 8587748342 |
| 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 |
|---|---|
| WESTGATE VILLA | Doing Business As Name - Organization |
| Street Address |
5425 MAYME AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.