GOOD SHEPHERD VISTA
NPI 1104357102
Assisted Living Facility in Oakland, CA

Q: What is Koobamo,llc's NPI number?

The NPI number for Koobamo,llc is 1104357102. It was assigned to this organization in the NPPES registry on March 22, 2017. The provider is doing business as Good Shepherd Vista.

Q: What is Koobamo,llc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Koobamo,llc was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2017

5472 FOOTHILL BLVD, OAKLAND, CA 94601(408) 202-2236 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Good Shepherd Vista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD VISTA (NPI 1104357102) is a healthcare organization registered as an assisted living facility in Oakland, California and active in the NPI registry since March 2017. The organization lists Hasmin Koo, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104357102

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKOOBAMO,LLC

Location Address5472 FOOTHILL BLVDOakland, CA 94601-5516

Mailing Address5472 Foothill BlvdOakland, CA 94601-5516 · (408) 202-2236

Phone(408) 202-2236

Organization SubpartNo

Authorized OfficialHasmin KooManaging Member · (408) 202-2236

Enumeration DateMarch 22, 2017

✔ NPI 1104357102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 019200695

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

5472 FOOTHILL BLVD, Oakland, CA 94601

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Other Names 1

Doing Business AsGood Shepherd Vista

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koobamo,llc's NPI number?

The NPI number for Koobamo,llc is 1104357102. It was assigned to this organization in the NPPES registry on March 22, 2017. The provider is doing business as Good Shepherd Vista.

Where is Koobamo,llc located?

Koobamo,llc is located at 5472 Foothill Blvd, Oakland, CA 94601. The listed phone number is (408) 202-2236.

What is Koobamo,llc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Koobamo,llc was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.