Active NPI
Lemuel F & Gena M Ignacio Support Staff Services
- Nursing Care Agency
- San Jose, CA
National Provider Identifier
1215955182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 070000304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57441F | Medicaid | CA |
Other names 1
- Pacific Home Health
National Provider Directory
National Provider DirectoryLocations
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.