Organization Active NPI

Lee's Care Home

  • Assisted Living Facility
  • San Jose, CA
National Provider Identifier
1376072637
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
435294105 Issued in CA
Legal business name
LEE'S CARE HOME
Practice address
5225 Gallant Fox Avenue
San Jose, CA 95131
Phone
(408) 841-9508
Fax
(408) 904-5344
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Corazon Esposo Millares
Title
Administrator
Phone
(408) 768-4189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 435294105 CA Primary

Addresses

Primary practice location

5225 Gallant Fox Avenue
San Jose, CA 95131

Mailing address

5225 Gallant Fox Ave
San Jose, CA 95111-2853
Phone (408) 841-9508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376072637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 GALLANT FOX AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951112853",
            "telephone_number": "408-841-9508",
            "fax_number": "408-904-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 GALLANT FOX AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95131",
            "telephone_number": "408-841-9508",
            "fax_number": "408-904-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLARES",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "ESPOSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-768-4189"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435294105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.