Organization Active NPI

Amazing Home

  • Assisted Living Facility
  • San Mateo, CA
National Provider Identifier
1689494189
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AMAZING HOME
Practice address
17 Jody CT
San Mateo, CA 94402-2615
Phone
(650) 286-9698
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Necia Conde
Title
Owner
Phone
(650) 286-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17 Jody CT
San Mateo, CA 94402-2615

Mailing address

17 Jody CT
San Mateo, CA 94402-2615
Phone (650) 286-9698

Other names 1

  • Amazing Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1689494189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JODY CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022615",
            "telephone_number": "650-286-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JODY CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022615",
            "telephone_number": "650-286-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "NECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-286-9698"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.