NPIMap

Organization Active NPI

Abode Services

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1003484783
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ABODE SERVICES
Practice address
1690 Southwest Expy
San Jose, CA 95126-4400
Phone
(510) 270-1150
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Sherman Wong
Title
Quality Assurance Coordinator
Phone
(510) 270-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1690 Southwest Expy
San Jose, CA 95126-4400

Mailing address

40849 Fremont Blvd
Fremont, CA 94538-4306

National Provider Directory

National Provider Directory
Tax ID family
Abode Services29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1003484783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40849 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SOUTHWEST EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264400",
            "telephone_number": "510-270-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "QUALITY ASSURANCE COORDINATOR",
        "authorized_official_telephone_number": "510-270-1150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 17, 2021; 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.