Organization Active NPI

Juana Care Facility

  • Assisted Living Facility
  • San Leandro, CA
National Provider Identifier
1114577640
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Sep 17, 2019

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.