Kimberly'S Elder Kare Kottage

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

435294206 Issued in CA

Legal business name

KIMBERLY'S ELDER KARE KOTTAGE

Practice address

2770 Moorpark Ave
San Jose, CA 95128-3153

Phone

(408) 483-2433

Fax

(408) 554-6656

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Hall

Title

Owner/Administrator

Phone

(408) 483-2433

Specialties & licenses 1

Addresses

Other names 1

• All About Seniors Other name

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1609232438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283153",
            "telephone_number": "408-483-2433",
            "fax_number": "408-554-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283153",
            "telephone_number": "408-483-2433",
            "fax_number": "408-554-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY'S ELDER KARE KOTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "408-483-2433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435294206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Seniors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yung Kim
• Lauren Mills Kimball, ASW
• Margaret Kathleen Kimball, RN, BSN
• Kimberlin Borca Leon, Licensed Clinical Social Worker, Inc.
• Kimberly Brown Naturopathic Doctor, Inc.
• Priscilla Kimbo
• Tonya Yvette Kimbrough
• Ryan J. Kime, MD
• Satoko Kimpara
• Faye Anne Kimura, LCSW

• 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 Jan 8, 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.