Active NPI
O'Connor Hospital Home Health Care Agency
- Home Health Agency
- San Jose, CA
National Provider Identifier
1053392308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- O'CONNOR HOSPITAL HOME HEALTH CARE AGENCY
- Practice address
- 2030 Forest Ave
San Jose, CA 95128-4833 - Phone
- (408) 947-2724
- Fax
- (408) 947-3431
- NPI assigned
- Nov 11, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheryl Barton, R.N.
- Title
- Director of Operations
- Phone
- (408) 947-2724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
2030 Forest Ave
San Jose, CA 95128-4833
Mailing address
2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR07201H | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- O'Connor Hospital Home Health Care Agency
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1306199831
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1467921247
-
- Institutional Pharmacy
- San Jose, CA
- NPI 1942593215
Locations
2030 Forest Ave
San Jose, CA 95128
Phone (408) 947-2724
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Los Gatos, CA
- NPI 1265497630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053392308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281425",
"telephone_number": "408-947-2724",
"fax_number": "408-947-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284833",
"telephone_number": "408-947-2724",
"fax_number": "408-947-3431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'CONNOR HOSPITAL HOME HEALTH CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "408-947-2724",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR07201H",
"state": "CA"
}
],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.