NPIMap

Organization Active NPI

Terra Bella Communities

  • Intellectual Disabilities Intermediate Care Facility
  • Gilroy, CA
National Provider Identifier
1285801241
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
70000422 Issued in CA
Legal business name
TERRA BELLA COMMUNITIES
Practice address
1010 San Miguel Rd.
Gilroy, CA 95020
Phone
(408) 847-6415
Fax
(408) 847-4615
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Carla McCormack
Title
Licensee
Phone
(408) 713-2770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X 70000422 CA Primary

Addresses

Primary practice location

1010 San Miguel Rd.
Gilroy, CA 95020

Mailing address

7990 Westwood Dr.
Gilroy, CA 95020
Phone (408) 713-2770

Other identifiers 1

IdentifierTypeStateIssuer
55G085MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Terra Bella Communities6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1285801241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 WESTWOOD DR.",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-713-2770",
            "fax_number": "408-713-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SAN MIGUEL RD.",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-847-6415",
            "fax_number": "408-847-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA BELLA COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "408-713-2770"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "70000422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55G085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.