Suzi Stefanac

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

306 31St Ave
San Mateo, CA 94403-3311

Phone

(650) 312-8721

NPI assigned

Jul 13, 2022

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suzi Stefanac Dba Hennelly House

  • Assisted Living Facility
  • San Mateo, CA
  • NPI 1578290672
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1710611975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 31ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033311",
            "telephone_number": "650-307-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 31ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033311",
            "telephone_number": "650-312-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Portola Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944032412",
            "country_code": "US",
            "telephone_number": "650-307-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANAC",
        "first_name": "SUZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Stoppoloni Stathacopoulos, PT MA PT GDMT
• Melanie Lynn Stauffer, LMFT
• Taylor Steed
• Dalton Anthony Steele
• Myra Lynn Steele, LPC
• Ivana Steigman, PH.D.
• Scarlett O Stein
• Sharon Marie Stein, MD
• Kathryn Irene Steinbaugh, MFCC
• William Joseph Steiner, O.D.

• Assisted Living Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.