Organization Active NPI

Lemuel F & Gena M Ignacio Support Staff Services

  • Nursing Care Agency
  • San Jose, CA
National Provider Identifier
1215955182
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
070000304 Issued in CA
Legal business name
LEMUEL F & GENA M IGNACIO SUPPORT STAFF SERVICES
Practice address
1168 Park Ave
San Jose, CA 95126-2913
Phone
(408) 971-4151
Fax
(408) 971-3429
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Lemuel F Ignacio
Title
Administrator
Phone
(408) 971-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 070000304 CA Primary

Addresses

Primary practice location

1168 Park Ave
San Jose, CA 95126-2913

Mailing address

1168 Park Ave
San Jose, CA 95126-2913
Phone (408) 971-4151

Other identifiers 1

IdentifierTypeStateIssuer
HHA57441FMedicaidCA

Other names 1

  • Pacific Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1168 Park Ave
San Jose, CA 95126
Phone (408) 971-4151

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1215955182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262913",
            "telephone_number": "408-971-4151",
            "fax_number": "408-971-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262913",
            "telephone_number": "408-971-4151",
            "fax_number": "408-971-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMUEL F & GENA M IGNACIO SUPPORT STAFF SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "LEMUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-971-4151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "070000304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57441F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Home Health",
            "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 Jun 25, 2008; 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.