Organization Active NPI

South Valley Health LLC

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1790652519
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH VALLEY HEALTH LLC
Practice address
4820 Harwood Rd Ste 110
San Jose, CA 95124-5276
Phone
(408) 357-9801
Fax
(408) 357-9805
NPI assigned
Oct 17, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Jesse Dewitt Ballard
Title
Owner/Director of Operations
Phone
(510) 299-4457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4820 Harwood Rd Ste 110
San Jose, CA 95124-5276

Mailing address

4820 Harwood Rd Ste 110
San Jose, CA 95124-5276
Phone (408) 357-9801

National Provider Directory

National Provider Directory

Locations

4820 Harwood Rd
Ste 110
San Jose, CA 95124
Phone (408) 357-9801

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1790652519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 HARWOOD RD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245276",
            "telephone_number": "408-357-9801",
            "fax_number": "408-357-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 HARWOOD RD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245276",
            "telephone_number": "408-357-9801",
            "fax_number": "408-357-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "510-299-4457"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.