TUPAZ HOME # 9 NPI 1003027491

Intermediate Care Facility, Mentally Retarded in San Jose, CA

NPI 1003027491 Organization Intermediate Care Facility, Mentally Ret...

About TUPAZ HOME # 9

Tupaz Home # 9 is a provider established in San Jose, California specializing in intermediate care facility, mentally retarded. The NPI number of Tupaz Home # 9 is 1003027491 and was assigned on May 2007. The practitioner's primary taxonomy code is 315P00000X with license number LTC80035G (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Beebe Tupaz (Owner)

NPI

1003027491

Provider NameTUPAZ HOME # 9
Provider Location Address1602 ORCHARD VIEW DR SAN JOSE, CA 95124
Provider Mailing Address2831 CORTINA WAY UNION CITY, CA 94587
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-25-2007
Last Update Date04-10-2009


Primary Taxonomy

Taxonomy Code315P00000X
ClassificationIntermediate Care Facility, Mentally Retarded
TypeNursing & Custodial Care Facilities
License No.LTC80035G
License StateCA
Taxonomy Description(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

Business Address

TUPAZ HOME # 9
1602 ORCHARD VIEW DR
SAN JOSE, CA
ZIP 95124
Phone: (408) 448-5411

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Mailing Address

TUPAZ HOME # 9
2831 CORTINA WAY
UNION CITY, CA
ZIP 94587
Phone: (408) 377-1622



Authorized Official

Authorized Official Name BEEBE TUPAZ
Authorized Official TitleOWNER
Authorized Official Phone(408) 377-1622

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.