NPIMap

Organization Active NPI

Ladwig Inc

  • Assisted Living Facility
  • San Jose, CA
National Provider Identifier
1912423203
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
435202568 Issued in CA
Legal business name
LADWIG INC
Practice address
683 Undajon Dr
San Jose, CA 95133-1736
Phone
(408) 937-1542
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Juvelyn Irish LadwigNPI 1881130508
Title
Administrator/Licensee
Phone
(408) 821-2630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 435202568 CA Primary

Addresses

Primary practice location

683 Undajon Dr
San Jose, CA 95133-1736

Mailing address

3340 Pinkerton Dr
San Jose, CA 95148-2753
Phone (408) 821-2630

Other names 1

  • Compassionate Eldercare Undajon RCFE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1912423203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PINKERTON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482753",
            "telephone_number": "408-821-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 UNDAJON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331736",
            "telephone_number": "408-937-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADWIG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "LADWIG",
        "authorized_official_first_name": "JUVELYN IRISH",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "408-821-2630"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435202568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Eldercare Undajon RCFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2017; 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.