TUPAZ HOME # 7 (NPI# 1841401213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841401213 |
| Entity Type | Organization |
| Organization Name | TUPAZ HOME # 7 |
| Practice Address |
308 Marti Way San Jose CA 95136-2135 |
| Mailing Address |
2831 Cortina Way Union City CA 94587-1553 |
| Practice Telephone | 4086295216 |
| Mailing Telephone | 4083771622 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-04-10 |
| Authorized Official Name | BEEBE TUPAZ (OWNER) |
| Authorized Official Telephone | 4083771622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | LTC80191G | CA | Nursing & Custodial Care Facilities |
| Street Address |
308 MARTI WAY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-2135 |
| 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 | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518390483 | Almond Home II Inc | Intermediate Care Facility, Mentally Retarded | 2551 Gumdrop Dr, San Jose, CA 95148-2019 | 2013-08-15 |
| 1053659086 | Mcr Care Inc. | Intermediate Care Facility, Mentally Retarded | 2223 Golden Dew Cir, San Jose, CA 95121-1441 | 2013-01-25 |
| 1932404555 | Emerald Key Villa Inc | Intermediate Care Facility, Mentally Retarded | 15860 Siesta Vista Drive, San Jose, CA 95127 | 2011-01-12 |
| 1396995072 | Circle of Care Corporation | Intermediate Care Facility, Mentally Retarded | 2130 Turnhouse Lane, San Jose, CA 95121-1377 | 2008-09-30 |
| 1912163031 | Tupaz Home # 14 | Intermediate Care Facility, Mentally Retarded | 14716 Union Ave, San Jose, CA 95124-3574 | 2008-07-29 |
| 1790949303 | Silver Punzalan II Inc | Intermediate Care Facility, Mentally Retarded | 2928 Silver Est, San Jose, CA 95135-1234 | 2008-07-12 |
| 1205019767 | Mouri Management Group Incorporated | Intermediate Care Facility, Mentally Retarded | 2492 Aram Ave, San Jose, CA 95128-4209 | 2007-12-07 |
| 1922219476 | Tupaz Home # 3 | Intermediate Care Facility, Mentally Retarded | 1955 Patio Dr, San Jose, CA 95125-5652 | 2007-05-25 |
| 1518178904 | Tupaz Home # 10 | Intermediate Care Facility, Mentally Retarded | 2893 Ross Ave, San Jose, CA 95124-1848 | 2007-05-25 |
| 1922219302 | Tupaz Home # 8 | Intermediate Care Facility, Mentally Retarded | 4189 Leigh Ave, San Jose, CA 95124-3612 | 2007-05-25 |
| 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.