Individual provider Active NPI

Sylvester Okoro

  • Assisted Living Facility
  • San Jose, CA
National Provider Identifier
1396594065
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
435202749 Issued in CA
Practice address
1324 Bagely Way
San Jose, CA 95122-3001
Phone
(408) 899-2129
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 435202749 CA Primary

Addresses

Primary practice location

1324 Bagely Way
San Jose, CA 95122-3001

Mailing address

3590 Rollingside Dr
San Jose, CA 95148-2844
Phone (614) 747-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
435202749CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hands Residential Living II, LLC Assisted Living Facility CurrentSince May 19, 2024 Accepting new patients
Oceanfront Care Home, LLC Assisted Living Facility Current Accepting new patients
Helping Hands Care Home, LLC Assisted Living Facility Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1396594065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 ROLLINGSIDE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482844",
            "telephone_number": "614-747-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BAGELY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223001",
            "telephone_number": "408-899-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "SYLVESTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435202749",
            "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 May 15, 2024; 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.