Active NPI
Kcare Homes LLC
- Intellectual Disabilities Intermediate Care Facility
- San Jose, CA
National Provider Identifier
1396509683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- KCARE HOMES LLC
- Practice address
- 1756 Swanston Way
San Jose, CA 95132-1647 - Phone
- (408) 347-1274
- NPI assigned
- Feb 8, 2024
- Organization subpart
- Yes
- Parent organization
- KCARE HOMES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugenia Valderama Cueto
- Title
- RN
- Phone
- (408) 838-1340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
1756 Swanston Way
San Jose, CA 95132-1647
Mailing address
3003 Olin Ave Unit 317
San Jose, CA 95128-2440
Phone (650) 270-8800
Other names 1
- KCARE HOME II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G543
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- KCARE HOME II
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Aug 8, 2006
- Last certification
- Apr 30, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 1756 Swanston Way
San Jose, CA 95132
National Provider Directory
National Provider Directory- Tax ID family
- Kcare Homes LLC
- Part of
- Kcare Homes LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Milpitas, CA
- NPI 1124882642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1396509683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 OLIN AVE UNIT 317",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282440",
"telephone_number": "650-270-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 SWANSTON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321647",
"telephone_number": "408-347-1274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCARE HOMES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KCARE HOMES LLC",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "CUETO",
"authorized_official_first_name": "EUGENIA",
"authorized_official_middle_name": "VALDERAMA",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "408-838-1340"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KCARE HOME II",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.