Burlingame Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

410508825 Issued in CA

Legal business name

BURLINGAME VILLA

Practice address

1117 Rhinette Ave
Burlingame, CA 94010-3419

Phone

(650) 344-7074

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Jangar

Title

Administrator

Phone

(650) 278-9515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1992196240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 RHINETTE AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103419",
            "telephone_number": "650-344-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 RHINETTE AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103419",
            "telephone_number": "650-344-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "JANGAR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-278-9515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "410508825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Burlingame School District
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• Burlingame Therapeutic Associatesii
• Burlingame-Pacifica Medical Group , Inc.
• Ashley Blair Burns, RN, IBCLC
• Amanda Jean Burr, MS OTR/L
• Warren E Bussard, R.PH.
• Angela Button, BCBA

• Assisted Living Facility in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.