Becker Home, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

LTC60978F Issued in CA

Legal business name

BECKER HOME, INC.

Practice address

2918 Ronco Dr
San Jose, CA 95132-2744

Phone

(408) 929-5580

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Reynaldo M Quedado

Title

President

Phone

(408) 929-5580

Specialties & licenses 1

Addresses

Tax ID family

Becker Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Becker II Home

  • Intellectual Disabilities Intermediate Care Facility
  • San Jose, CA
  • NPI 1437369808
  NPD tax ID

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053527937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 RONCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322744",
            "telephone_number": "408-929-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 RONCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322744",
            "telephone_number": "408-929-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEDADO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-929-5580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60978F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Becerril Jr.
• Michelle Becerril
• Jacqueline Bech
• Megahn M Beck, M.S.
• Sarah Beck
• Becker II Home
• Albert Becker, CPO
• Charles Becker
• Greg Becker
• Hannah Claire Becker

• Intellectual Disabilities Intermediate Care Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• 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.

Verify at the official NPI Registry.