Nazareth Classic Care Community Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

415600741 Issued in CA

Legal business name

NAZARETH CLASSIC CARE COMMUNITY INC

Practice address

800 Roble Ave
Menlo Park, CA 94025-4908

Phone

(650) 322-4100

Fax

(650) 322-1508

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Hanna Farid Hanhan, MS

Title

Cfo

Phone

(650) 347-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1851694608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SOUTH B STREET",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014272",
            "telephone_number": "650-347-9500",
            "fax_number": "650-347-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROBLE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254908",
            "telephone_number": "650-322-4100",
            "fax_number": "650-322-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH CLASSIC CARE COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "HANHAN",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "FARID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "650-347-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "415600741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "415600741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Desiree Najarro
• George James Nakano, MPH, M.D.
• Kimber Leigh Napierskie, MFT
• Nichola Napoleon, RN
• Kalpana Nathan, MD
• Rachael Negron
• Lyndsey Nelson, LMFT
• Richard Nelson, M.D.
• Soeng NG
• Kim Thu Ngo, M.S., BCBA

• Assisted Living Facility in Menlo Park, CA
• Providers in Menlo Park, 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 Dec 17, 2010; 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.