Organization Active NPI

Live Oak Adult Day Services

  • Respite Care
  • San Jose, CA
National Provider Identifier
1003165341
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
435200743 Issued in CA
Legal business name
LIVE OAK ADULT DAY SERVICES
Practice address
1147 Minnesota Ave
San Jose, CA 95125-3324
Phone
(408) 971-9363
Fax
(408) 971-9079
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Colleen Hudgen
Title
Executive Director
Phone
(408) 971-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 435200743 CA Primary

Addresses

Primary practice location

1147 Minnesota Ave
San Jose, CA 95125-3324

Mailing address

1147 Minnesota Ave
San Jose, CA 95125-3324
Phone (408) 971-9363

National Provider Directory

National Provider Directory

Locations

1147 Minnesota Ave
San Jose, CA 95125
Phone (408) 971-9363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1003165341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 MINNESOTA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253324",
            "telephone_number": "408-971-9363",
            "fax_number": "408-971-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 MINNESOTA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253324",
            "telephone_number": "408-971-9363",
            "fax_number": "408-971-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "HUDGEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-971-9363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "435200743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.