NPIMap

Organization Active NPI

Odd-Fellow Rebekah Children's Home of Ca

Doing business as Rebekah Children's Services

  • Community/Behavioral Health Agency
  • Cupertino, CA
National Provider Identifier
1316697238
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA
Doing business as
Rebekah Children's Services
Practice address
21370 Homestead Rd
Cupertino, CA 95014-0203
Phone
(408) 846-2100
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Jennifer Dang MaloneNPI 1912043753
Title
Chief Compliance Officer
Phone
(408) 591-0043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21370 Homestead Rd
Cupertino, CA 95014-0203

Mailing address

290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2141

Other practice location 1

10100 Finch Ave
Cupertino, CA 95014-3411
Phone (408) 846-2100

Other names 1

  • Rebekah Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odd Fellow-Rebekah Children's Home of California16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

21370 Homestead Rd
Cupertino, CA 95014
Phone (408) 522-2516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1316697238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205204",
            "telephone_number": "408-846-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 HOMESTEAD RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140203",
            "telephone_number": "408-846-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Finch Ave",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143411",
            "country_code": "US",
            "telephone_number": "408-846-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "408-591-0043"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebekah Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.