Organization Active NPI

Lita & Ava Inc

  • Skilled Nursing Facility
  • San Jose, CA
National Provider Identifier
1962648626
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
070000051 Issued in CA
Legal business name
LITA & AVA INC
Practice address
1250 S Winchester Blvd
San Jose, CA 95128-3906
Phone
(408) 241-3844
Fax
(408) 241-6430
NPI assigned
Dec 31, 2008
Organization subpart
Yes
Parent organization
LITA & AVA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Julita A Javier
Title
President
Phone
(408) 241-3844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 070000051 CA Primary

Addresses

Primary practice location

1250 S Winchester Blvd
San Jose, CA 95128-3906

Mailing address

1250 S Winchester Blvd
San Jose, CA 95128-3906
Phone (408) 241-3844

Other names 1

  • A GRACE SUB ACUTE & SKILLED CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lita Ava Inc2 organizations share this tax ID, including this one
Part of
Lita Ava Inc

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": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1962648626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283906",
            "telephone_number": "408-241-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283906",
            "telephone_number": "408-241-3844",
            "fax_number": "408-241-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITA & AVA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITA & AVA INC",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "JULITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-241-3844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "070000051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A GRACE SUB ACUTE & SKILLED CARE",
            "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 Dec 31, 2008; 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.