International Community Healthcare Resource, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

INTERNATIONAL COMMUNITY HEALTHCARE RESOURCE, INC

Practice address

1533 California Cir
#100
Milpitas, CA 95035-8101

Phone

(408) 719-1004

Fax

(408) 719-1094

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tae Kyung Kim, D.C.

Title

Administrator

Phone

(408) 719-1004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milpitos adult day health center Doing business as

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1366620189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 CALIFORNIA CIR",
            "address_2": "#100",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358101",
            "telephone_number": "408-719-1004",
            "fax_number": "408-719-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 CALIFORNIA CIR",
            "address_2": "#100",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358101",
            "telephone_number": "408-719-1004",
            "fax_number": "408-719-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL COMMUNITY HEALTHCARE RESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE KYUNG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-719-1004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70406F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milpitos adult day health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.