Organization Active NPI

Fruitful Living Enterprises

  • In Home Supportive Care Agency
  • San Jose, CA
National Provider Identifier
1255607040
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FRUITFUL LIVING ENTERPRISES
Doing business as
Caregivers That Deliver
Practice address
467 Saratoga Ave
Ste 215
San Jose, CA 95129-1326
Phone
(408) 249-4697
Fax
(408) 588-1619
NPI assigned
Mar 27, 2012
Organization subpart
Yes
Parent organization
FRUITFUL LIVING ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Janis King
Title
Ceo
Phone
(408) 515-9478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CA Primary

Addresses

Primary practice location

467 Saratoga Ave
Ste 215
San Jose, CA 95129-1326

Mailing address

467 Saratoga Ave Ste 221
San Jose, CA 95129-1326
Phone (408) 515-9478

Other names 1

  • Caregivers That Deliver Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fruitful Living Enterprises3 organizations share this tax ID, including this one
Part of
Fruitful Living Enterprises

Other organizations with this tax ID 2

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

Locations

467 Saratoga Ave
San Jose, CA 95129
Phone (408) 249-0095

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1255607040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 SARATOGA AVE STE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291326",
            "telephone_number": "408-515-9478",
            "fax_number": "408-588-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 SARATOGA AVE",
            "address_2": "STE 215",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291326",
            "telephone_number": "408-249-4697",
            "fax_number": "408-588-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITFUL LIVING ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRUITFUL LIVING ENTERPRISES",
        "enumeration_date": "2012-03-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-515-9478"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caregivers That Deliver",
            "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 Aug 8, 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.

Verify at the official NPI Registry.