Active NPI
Hearts & Minds Activity Center
- Respite Care
- San Jose, CA
National Provider Identifier
1144569039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- HEARTS & MINDS ACTIVITY CENTER
- Practice address
- 2380 Enberg Lane
San Jose, CA 95128-2146 - Phone
- (408) 279-7515
- Fax
- (408) 279-7519
- NPI assigned
- Feb 12, 2013
- 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. Maria Angelica Nicolacoudis, MA
- Title
- Ceo
- Phone
- (408) 279-7515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 435202011 | CA | |
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
2380 Enberg Lane
San Jose, CA 95128-2146
Mailing address
2380 Enberg Lane
San Jose, CA 95128-2146
Phone (408) 279-7515
Other names 1
- Respite and Research for Alzheimers Disease
National Provider Directory
National Provider DirectoryLocations
2380 Enborg Ln
San Jose, CA 95128
Phone (408) 279-7515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1144569039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 ENBERG LANE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282146",
"telephone_number": "408-279-7515",
"fax_number": "408-279-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 ENBERG LANE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282146",
"telephone_number": "408-279-7515",
"fax_number": "408-279-7519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTS & MINDS ACTIVITY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-12",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "NICOLACOUDIS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "ANGELICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "408-279-7515",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "435202011",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Respite and Research for Alzheimers Disease",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Jose, CA
- Heart & Rhythm Clinic, a Professional Medical Corporation
- Heart Associates of Northern Calif
- Heart Balance Acupuncture
- Heart of Hope Asian American Hospice Care, a Nonprofit Corporation
- Heart Rhythm Associates Inc
- Brendan Waylan Heary, DPT
- Rachel Heath
- Rhonda Heath
- Christen Ellen Heaton
- Heaven Man Integrated Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.