Active NPI
TLC of the Bay Area Inc
- Skilled Nursing Facility
- Santa Clara, CA
National Provider Identifier
1710058441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TLC OF THE BAY AREA INC
- Doing business as
- Valley House Care Center
- Practice address
- 991 Clyde Avenue
Santa Clara, CA 95054 - Phone
- (408) 988-7667
- Fax
- (408) 988-2867
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Malcom K Burke
- Title
- Administrator
- Phone
- (408) 988-7667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
991 Clyde Avenue
Santa Clara, CA 95054
Mailing address
991 Clyde Avenue
Santa Clara, CA 95054
Phone (408) 988-7667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40276073 | Other | CA | STATE TAX ID |
| ZZR06069H | Medicaid | CA |
Other names 1
- Valley House Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710058441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 CLYDE AVENUE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95054",
"telephone_number": "408-988-7667",
"fax_number": "408-988-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 CLYDE AVENUE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95054",
"telephone_number": "408-988-7667",
"fax_number": "408-988-2867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC OF THE BAY AREA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "MALCOM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "408-988-7667",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TAX ID",
"identifier": "40276073",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR06069H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley House Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Clara, CA
Sources for this page
- 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.