Active NPI
Scott Villas Corp
- Assisted Living Facility
- Hayward, CA
National Provider Identifier
1336786490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hayward | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.