Organization Active NPI

Kcare Homes LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Milpitas, CA
National Provider Identifier
1124882642
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
KCARE HOMES LLC
Practice address
1935 Big Bend Dr
Milpitas, CA 95035-6603
Phone
(408) 956-9720
NPI assigned
Feb 7, 2024
Organization subpart
Yes
Parent organization
KCARE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Eugenia Valderama Cueto
Title
RN Consultant
Phone
(408) 838-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1935 Big Bend Dr
Milpitas, CA 95035-6603

Mailing address

3003 Olin Ave Unit 317
San Jose, CA 95128-2440
Phone (650) 270-8800

Other practice location 1

1756 Swanston Way
San Jose, CA 95132-1647
Phone (408) 347-1274

Other names 1

  • KCARE HOME II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G392

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KCARE HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 28, 2001
Last certification
Nov 5, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1935 Big Bend Drive
Milpitas, CA 95035

National Provider Directory

National Provider Directory
Tax ID family
Kcare Homes LLC2 organizations share this tax ID, including this one
Part of
Kcare Homes LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124882642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 OLIN AVE UNIT 317",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282440",
            "telephone_number": "650-270-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BIG BEND DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356603",
            "telephone_number": "408-956-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 Swanston Way",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951321647",
            "country_code": "US",
            "telephone_number": "408-347-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KCARE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCARE HOMES LLC",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "CUETO",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "VALDERAMA",
        "authorized_official_title_or_position": "RN CONSULTANT",
        "authorized_official_telephone_number": "408-838-1340"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCARE HOME II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.