Lifehouse San Jose Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PENDING DHS APPROVAL Issued in CA

Legal business name

LIFEHOUSE SAN JOSE OPERATIONS, LLC

Doing business as

San Jose Healthcare Center

Practice address

180 N Jackson Ave
San Jose, CA 95116-1907

Phone

(408) 259-8700

Fax

(408) 259-2343

NPI assigned

Sep 10, 2007

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFEHOUSE HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Lou Andriotti, MBA

Title

Chief Executive Officer

Phone

(310) 337-1929

Specialties & licenses 1

Addresses

Other names 1

• San Jose Healthcare Center Doing business as

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1912192261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NORTH REAL ROAD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011820",
            "telephone_number": "661-327-7107",
            "fax_number": "661-327-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161907",
            "telephone_number": "408-259-8700",
            "fax_number": "408-259-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE SAN JOSE OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEHOUSE HEALTH SERVICES, LLC",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ANDRIOTTI",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-337-1929",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "PENDING DHS APPROVAL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.