Active NPI
Juana Care Facility
- Assisted Living Facility
- San Leandro, CA
National Provider Identifier
1114577640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- JUANA CARE FACILITY
- Practice address
- 389 Juana Ave
San Leandro, CA 94577-4810 - Phone
- (510) 357-1300
- NPI assigned
- Sep 17, 2019
- 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
- Mrs. Jene Adrina Levine
- Title
- Owner
- Phone
- (510) 504-1788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
389 Juana Ave
San Leandro, CA 94577-4810
Mailing address
4487 Mountain View Ave
Oakland, CA 94605-1209
Phone (510) 504-1788
Other practice location 1
1476 164th Ave
San Leandro, CA 94578-3124
Phone (510) 276-6167
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Berkeley, CA
- NPI 1790726511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1114577640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4487 MOUNTAIN VIEW AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946051209",
"telephone_number": "510-504-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 JUANA AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774810",
"telephone_number": "510-357-1300"
}
],
"practiceLocations": [
{
"address_1": "1476 164th Ave",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945783124",
"country_code": "US",
"telephone_number": "510-276-6167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JUANA CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "JENE",
"authorized_official_middle_name": "ADRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-504-1788",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.