LGTC Management Company

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

LGTC MANAGEMENT COMPANY

Practice address

1551 Hamilton Ave
San Jose, CA 95125-4540

Phone

(408) 559-3403

NPI assigned

Aug 2, 2022

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikaela Ashley Manzano, MS, RDN

  • Registered Dietitian
  • San Jose, CA
  • NPI 1730960725
  NPD
• Janelle Bunch, LVN

  • Licensed Vocational Nurse
  • San Jose, CA
  • NPI 1578488516
  NPD (past)

Tax ID family

LGTC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• LGTC Inc

  • Registered Dietitian
  • San Jose, CA
  • NPI 1710749494
  NPD tax ID
• LGTC Management Company

  • Psychiatric Residential Treatment Facility
  • San Jose, CA
  • NPI 1033971874
  NPD tax ID

Locations

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

Authorized official

Name

Eugene Tilman

Title

Director

Phone

(408) 559-3403

Specialties & licenses 1

Addresses

Other names 1

• LGTC - WILLOW GLEN Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2022.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1447987367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254540",
            "telephone_number": "408-559-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGTC MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-559-3403"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGTC - WILLOW GLEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia Leyva,
• LGTC Group
• LGTC Group
• LGTC Inc
• LGTC Management Company
• LHC Acupuncture Inc
• LHC Medical Group LLC
• Ellen Lhee
• Li Bai Health Center
• Li Ngai Chang Dental Group Inc.

• All providers in San Jose, CA
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.