Sagal Group Care, Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

2717715 Issued in CA

Legal business name

SAGAL GROUP CARE, INC

Practice address

2845 Moorpark Ave Ste 108
San Jose, CA 95128-3158

Phone

(408) 244-7553

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jamali Warfa Atteyeh

Title

Administrator

Phone

(408) 244-7553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669677878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 MOORPARK AVE STE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283158",
            "telephone_number": "408-244-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MOORPARK AVE STE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283158",
            "telephone_number": "408-244-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAL GROUP CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATTEYEH",
        "authorized_official_first_name": "JAMALI",
        "authorized_official_middle_name": "WARFA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-244-7553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "2717715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.