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DERRY WAY HOME
NPI 1235533316
Assisted Living Facility in South San Francisco, CA

Active since October 17, 2014
2243 DERRY WAY, SOUTH SAN FRANCISCO, CA 94080(650) 763-1152 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derry Way Home NPPES

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

DERRY WAY HOME (NPI 1235533316) is a healthcare organization registered as an assisted living facility in South San Francisco, California and active in the NPI registry since October 2014. The organization lists Kwai Kwong Liu, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235533316
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDERRY WAY HOME
Location Address2243 DERRY WAYSouth San Francisco, CA 94080-5506
Mailing Address2243 Derry WaySouth San Francisco, CA 94080-5506 · (650) 763-1152
Phone(650) 763-1152
Organization SubpartNo
Authorized OfficialKwai Kwong LiuAdministrator · (650) 219-7930
Enumeration DateOctober 17, 2014
✔ NPI 1235533316 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 · 415600901
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.
2243 DERRY WAY, South San Francisco, CA 94080
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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 Derry Way Home's NPI number?

The NPI number for Derry Way Home is 1235533316. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Derry Way Home located?

Derry Way Home is located at 2243 Derry Way, South San Francisco, CA 94080. The listed phone number is (650) 763-1152.

What is Derry Way Home'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 Derry Way Home was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.