Active NPI
Aj'S Senior Care Home
- Assisted Living Facility
- Concord, CA
National Provider Identifier
1053718783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- AJ'S SENIOR CARE HOME
- Practice address
- 3938 Cowell Rd
Concord, CA 94518-1709 - Phone
- (925) 475-9941
- Fax
- (925) 689-6888
- NPI assigned
- Nov 24, 2014
- 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. Janet Baena Valencia, RN
- Title
- President
- Phone
- (925) 475-9941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3938 Cowell Rd
Concord, CA 94518-1709
Mailing address
3938 Cowell Rd
Concord, CA 94518-1709
Phone (925) 475-9941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAID | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1053718783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 COWELL RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945181709",
"telephone_number": "925-475-9941",
"fax_number": "925-689-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 COWELL RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945181709",
"telephone_number": "925-475-9941",
"fax_number": "925-689-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJ'S SENIOR CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "VALENCIA",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "BAENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-475-9941",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAID",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.