Organization Active NPI

Fruitful Living Enterprises

  • Adult Day Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1942004320
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FRUITFUL LIVING ENTERPRISES
Practice address
467 Saratoga Ave
Ste 221
San Jose, CA 95129
Phone
(405) 515-9478
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Janis King
Title
Ceo
Phone
(408) 249-4697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

467 Saratoga Ave
Ste 221
San Jose, CA 95129

Mailing address

467 Saratoga Ave Ste 221
San Jose, CA 95129-1326
Phone (405) 515-9478

National Provider Directory

National Provider Directory
Tax ID family
Fruitful Living Enterprises3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1942004320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 SARATOGA AVE STE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291326",
            "telephone_number": "405-515-9478",
            "fax_number": "408-709-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 SARATOGA AVE",
            "address_2": "STE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "405-515-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITFUL LIVING ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-249-4697"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 3, 2025; 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.