NPIMap

Organization Active NPI

Lifemoves - Julian Street Inn

  • Mental Illness Community Based Residential Treatment Facility
  • San Jose, CA
National Provider Identifier
1962855411
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LIFEMOVES - JULIAN STREET INN
Practice address
546 W Julian St
San Jose, CA 95110-2351
Phone
(408) 271-0820
NPI assigned
Jul 20, 2016
Organization subpart
Yes
Parent organization
LIFEMOVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mr. Bruce Ives
Title
Ceo
Phone
(650) 680-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

546 W Julian St
San Jose, CA 95110-2351

Mailing address

181 Constitution Dr
Menlo Park, CA 94025-1106
Phone (650) 680-5880

National Provider Directory

National Provider Directory
Tax ID family
Lifemoves - Julian Street Inn4 organizations share this tax ID, including this one
Part of
Lifemoves - Julian Street Inn

Other organizations with this tax ID 3

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1962855411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CONSTITUTION DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251106",
            "telephone_number": "650-680-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102351",
            "telephone_number": "408-271-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMOVES - JULIAN STREET INN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEMOVES",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-680-5880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Oct 19, 2016; 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.