Angels Manor Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANGELS MANOR CARE HOME

Practice address

1021 Heatherfield LN
San Jose, CA 95132-2931

Phone

(408) 272-8655

Fax

(408) 258-1328

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Elma L Fernandez

Title

Lincesee Administrator

Phone

(408) 272-8655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1568905958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 HEATHERFIELD LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322931",
            "telephone_number": "408-272-8655",
            "fax_number": "408-258-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HEATHERFIELD LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322931",
            "telephone_number": "408-272-8655",
            "fax_number": "408-258-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS MANOR CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ELMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LINCESEE ADMINISTRATOR",
        "authorized_official_telephone_number": "408-272-8655"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Juliana Angeles
• Rachel Angeley
• Angelita Y. Luciano D.M.D., Inc. (none)
• Cathy Dugar Angell, MD
• Ivan Angelov
• Paul Merlu Arrojado Anggo
• Cindy Angot
• Xanthius Richard Anguiano
• Angular Momentum Physical Therapy
• Alejandra Angulo, MSW

• Assisted Living Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.