Organization Active NPI

Premier Senior Care Group Corporation

  • Assisted Living Facility
  • Campbell, CA
National Provider Identifier
1932024262
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PREMIER SENIOR CARE GROUP CORPORATION
Practice address
290 N San Tomas Aquino Rd
Campbell, CA 95008-1628
Phone
(408) 378-2535
Fax
(408) 378-0168
NPI assigned
Aug 13, 2026
Organization subpart
Yes
Parent organization
PREMIER SENIOR CARE GROUP CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Olivia Velasquez
Title
Executive Director
Phone
(408) 586-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

290 N San Tomas Aquino Rd
Campbell, CA 95008-1628

Mailing address

290 N San Tomas Aquino Rd
Campbell, CA 95008-1628
Phone (408) 378-2535

Other names 1

  • Campbell Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Senior Care Group Corporation2 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.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1932024262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081628",
            "telephone_number": "408-378-2535",
            "fax_number": "408-378-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081628",
            "telephone_number": "408-378-2535",
            "fax_number": "408-378-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SENIOR CARE GROUP CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER SENIOR CARE GROUP CORPORATION",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-586-8144"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.