NPIMap

Organization Active NPI

Grace Community Center Day Rehabilitation Program

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1861755480
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14707 Issued in CA
Legal business name
GRACE COMMUNITY CENTER DAY REHABILITATION PROGRAM
Practice address
146 S 10TH St
San Jose, CA 95112-3641
Phone
(408) 794-7580
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Lisa Blevins, PHD
Title
Director
Phone
(408) 794-7592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 14707 CA Primary

Addresses

Primary practice location

146 S 10TH St
San Jose, CA 95112-3641

Mailing address

146 S 10TH St
San Jose, CA 95112-3641
Phone (408) 794-7580

National Provider Directory

National Provider Directory
Tax ID family
City of San Jose5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1861755480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S 10TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123641",
            "telephone_number": "408-794-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S 10TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123641",
            "telephone_number": "408-794-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY CENTER DAY REHABILITATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-794-7592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "14707",
            "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 Jun 19, 2012; 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.