Emerald Key Villa Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

EMERALD KEY VILLA INC

Practice address

15860 Siesta Vista Drive
San Jose, CA 95127

Phone

(408) 390-8533

NPI assigned

Jan 12, 2011

Last updated

Jan 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelina Quedado Doolabh, RN

Title

Corporate Officer

Phone

(408) 390-8533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1932404555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32804",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95152",
            "telephone_number": "408-390-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15860 SIESTA VISTA DRIVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95127",
            "telephone_number": "408-390-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD KEY VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "DOOLABH",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "QUEDADO",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "408-390-8533",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel Frank MD, a Professional Corporation
• Jacqueline Maria Emathinger
• Amberlee Rose Emburton
• Esther Chioma Emenalom, MD
• Emerald Blossom Manor, LLC.
• Emergency Physicians Associates Overhead Operating Account Dennis Belo (Emergency Physician Associates)
• Emergency Physicians Associates San Jose PC
• Emerging Milestones, Inc.
• Emeritus Home Health Inc
• John Emery, DC

• Intellectual Disabilities Intermediate Care Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.