Organization Active NPI

We Care Icf-DDH

  • Intellectual Disabilities Intermediate Care Facility
  • San Jose, CA
National Provider Identifier
1295947216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60921F Issued in CA
Legal business name
WE CARE ICF-DDH
Doing business as
none
Practice address
2918 Ronco Dr
San Jose, CA 95132-2744
Phone
(408) 929-5580
Fax
(408) 926-5060
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Reynaldo M Quedado
Title
Owner
Phone
(408) 929-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60921F CA Primary

Addresses

Primary practice location

2918 Ronco Dr
San Jose, CA 95132-2744

Mailing address

2918 Ronco Dr
San Jose, CA 95132-2744
Phone (408) 929-5580

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295947216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 RONCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322744",
            "telephone_number": "408-929-5580",
            "fax_number": "408-926-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 RONCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322744",
            "telephone_number": "408-929-5580",
            "fax_number": "408-926-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE ICF-DDH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEDADO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-929-5580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60921F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "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 22, 2020; 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.