Suzi Stefanac Dba Hennelly House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUZI STEFANAC DBA HENNELLY HOUSE

Practice address

306 31St Ave
San Mateo, CA 94403-3311

Phone

(650) 307-5110

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Suzi Stefenac

Title

Owner

Phone

(650) 307-5110

Specialties & licenses 1

Addresses

Practitioners 1

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

• Suzi Stefanac

  • Assisted Living Facility
  • San Mateo, CA
  • NPI 1710611975
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1578290672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 31ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 31ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033311",
            "telephone_number": "650-307-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Portola Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944032412",
            "country_code": "US",
            "telephone_number": "650-307-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUZI STEFANAC DBA HENNELLY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "STEFENAC",
        "authorized_official_first_name": "SUZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-307-5110"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutter Bay Medical Foundation
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter West Bay Medical Foundation
• Diane Keiko Suwabe, MD
• Kevin Suzuki, RPH
• Sven Gunther Mdinc
• Dina Sverdlov, MD
• Svia Medspa LLC
• Andrew Charlton Sweet, PH.D.

• Assisted Living Facility in San Mateo, CA
• Providers in San Mateo, 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 Aug 30, 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.