Organization Active NPI

Triada Care Communities LLC

Doing business as Bellerose Senior Living

  • Assisted Living Facility
  • San Jose, CA
National Provider Identifier
1134931900
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRIADA CARE COMMUNITIES LLC
Doing business as
Bellerose Senior Living
Practice address
100 Bellerose Dr
San Jose, CA 95128-1701
Phone
(888) 324-6520
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Jeffrey Rodriguez
Title
Managing Member
Phone
(408) 960-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

100 Bellerose Dr
San Jose, CA 95128-1701

Mailing address

7575 Auburn Folsom Rd
Granite Bay, CA 95746-7327
Phone (408) 960-5733

Other names 1

  • Bellerose Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1134931900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 AUBURN FOLSOM RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467327",
            "telephone_number": "408-960-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BELLEROSE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281701",
            "telephone_number": "888-324-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIADA CARE COMMUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-960-5733"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellerose Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.