Diya Senior Care Corp

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

435202608 Issued in CA

Legal business name

DIYA SENIOR CARE CORP

Practice address

366 Lassenpark Cir
San Jose, CA 95136-2159

Phone

(408) 832-1153

Fax

(408) 832-1153

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Bani Kaur, CEO

Title

Licensee

Phone

(408) 832-1153

Specialties & licenses 1

Addresses

Other names 1

• Diya Senior Care Home Other name

Tax ID family

Diya Senior Care Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Diya Senior Care Corp

  • Assisted Living Facility
  • San Jose, CA
  • NPI 1174020879
  NPD tax ID

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1922584903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 CLEARPARK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362308",
            "telephone_number": "408-832-1153",
            "fax_number": "408-629-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 LASSENPARK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362159",
            "telephone_number": "408-832-1153",
            "fax_number": "408-832-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYA SENIOR CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "BANI",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "408-832-1153",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "435202608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diya Senior Care Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Diya Senior Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kynda Marie Dixon
• Mikaela Dixon
• Tacoya Dixon
• Wallace Conrad Dixon Jr.
• Diya Senior Care Corp
• Aida Dizdarevic, FNP
• Bianca Dizon, BCBA
• Erlinda Q. Dizon, MD
• Kevin Dizon, RDHAP
• Marianne Lindog Dizon

• Assisted Living Facility (Mental Illness) in San Jose, CA
• Providers in San Jose, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.