NPIMap

Organization Active NPI

Abode Services

  • Case Management Agency
  • San Jose, CA
National Provider Identifier
1902292501
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ABODE SERVICES
Practice address
1156 N 4TH St
San Jose, CA 95112-4900
Phone
(510) 657-7409
Fax
(510) 270-3259
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Mr. Louis Chicoine
Title
Executive Director
Phone
(510) 657-7409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1156 N 4TH St
San Jose, CA 95112-4900

Mailing address

40849 Fremont Blvd
Fremont, CA 94538-4306
Phone (510) 657-7409

National Provider Directory

National Provider Directory
Tax ID family
Abode Services29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

1156 N 4th St
San Jose, CA 95112
Phone (408) 307-6635

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1902292501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40849 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384306",
            "telephone_number": "510-657-7409",
            "fax_number": "510-270-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N 4TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124900",
            "telephone_number": "510-657-7409",
            "fax_number": "510-270-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "CHICOINE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-657-7409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "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 Apr 9, 2015; 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.