Organization Active NPI

Scott Villas Corp

  • Assisted Living Facility
  • Hayward, CA
National Provider Identifier
1336786490
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SCOTT VILLAS CORP
Practice address
1560 Middle LN
Hayward, CA 94545-1912
Phone
(510) 390-8078
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Wendy Wong
Title
LVN
Phone
(510) 390-8078

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1560 Middle LN
Hayward, CA 94545-1912

Mailing address

1560 Middle LN
Hayward, CA 94545-1912
Phone (510) 782-8808

Other practice location 1

27402 Manon Ave
Hayward, CA 94544-4614
Phone (510) 390-8078

Other practice location 2

1235 Hopkins Ave
Redwood City, CA 94062-1519
Phone (510) 390-8078

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hayward Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1235 Hopkins Ave
Redwood City, CA 94062
Phone (510) 390-8078

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1336786490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 MIDDLE LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451912",
            "telephone_number": "510-782-8808",
            "fax_number": "510-782-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 MIDDLE LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451912",
            "telephone_number": "510-390-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27402 Manon Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945444614",
            "country_code": "US",
            "telephone_number": "510-390-8078",
            "fax_number": "510-887-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 Hopkins Ave",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940621519",
            "country_code": "US",
            "telephone_number": "510-390-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT VILLAS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "510-390-8078"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hayward",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hayward",
            "address_1": "24647 Mohr Dr",
            "city": "Hayward",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945452309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.