Emmanuel Healthcare South Bay, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EMMANUEL HEALTHCARE SOUTH BAY, INC.

Practice address

800 Charcot Ave
Ste 113
San Jose, CA 95131-2211

Phone

(408) 684-4327

Fax

(408) 684-4329

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Andrew T Javellana

Title

Administrator

Phone

(408) 684-4327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1609321108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHARCOT AVE",
            "address_2": "STE 113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312211",
            "telephone_number": "408-684-4327",
            "fax_number": "408-684-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHARCOT AVE",
            "address_2": "STE 113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312211",
            "telephone_number": "408-684-4327",
            "fax_number": "408-684-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HEALTHCARE SOUTH BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "JAVELLANA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-684-4327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Emmert, PSY.D.
• Melissa Emmert, PSY.D.
• Kaite Emmons, MS, BCBA
• Kristen Michelle Emmons, R.N.
• Megan Emmons

• All providers in San Jose, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.