NPIMap

Organization Active NPI

Senior Support Program of the Tri-Valley

  • In Home Supportive Care Agency
  • Pleasanton, CA
National Provider Identifier
1679004311
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
29536 Issued in CA
Legal business name
SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY
Practice address
5353 Sunol Blvd
Pleasanton, CA 94566-7607
Phone
(925) 931-4820
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Mr. Robert Taylor
Title
Executive Director
Phone
(925) 931-5395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 29536 CA Primary

Addresses

Primary practice location

5353 Sunol Blvd
Pleasanton, CA 94566-7607

Mailing address

5353 Sunol Blvd
Pleasanton, CA 94566-7607
Phone (925) 931-4820

National Provider Directory

National Provider Directory
Tax ID family
Senior Support Program of the Tri Valley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1679004311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 SUNOL BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667607",
            "telephone_number": "925-931-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 SUNOL BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667607",
            "telephone_number": "925-931-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-931-5395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "29536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.