Organization Active NPI

Villa

  • Assisted Living Facility
  • Mountain View, CA
National Provider Identifier
1235685611
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
430708114 Issued in CA
Legal business name
VILLA
Practice address
1855 Miramonte Ave
Mountain View, CA 94040-4029
Phone
(650) 961-6484
Fax
(650) 961-6254
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Corine Bernard
Title
Executive Director
Phone
(650) 318-5809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 430708114 CA Primary

Addresses

Primary practice location

1855 Miramonte Ave
Mountain View, CA 94040-4029

Mailing address

1855 Miramonte Ave
Mountain View, CA 94040-4029
Phone (650) 961-6484

National Provider Directory

National Provider Directory
Tax ID family
Villa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1855 Miramonte Ave
Mountain View, CA 94040
Phone (650) 961-6484

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1235685611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 MIRAMONTE AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404029",
            "telephone_number": "650-961-6484",
            "fax_number": "650-961-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 MIRAMONTE AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404029",
            "telephone_number": "650-961-6484",
            "fax_number": "650-961-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "CORINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-318-5809"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "430708114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.