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OUR LADY OF FATIMA VILLA
NPI 1689742785
Assisted Living Facility in Saratoga, CA

Active since November 30, 2006CLIA 05D0697178 · Waiver
20400 SARATOGA LOS GATOS ROAD, SARATOGA, CA 95070(408) 741-2950(408) 741-4930 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Lady Of Fatima Villa NPPES

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

OUR LADY OF FATIMA VILLA (NPI 1689742785) is a healthcare organization registered as an assisted living facility in Saratoga, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bella O Mahoney, Ceo Administrator, as its authorized official.

NPPES Registry Identity

NPI1689742785
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOUR LADY OF FATIMA VILLA
Location Address20400 SARATOGA LOS GATOS ROADSaratoga, CA 95070
Mailing Address20400 Saratoga Los Gatos RoadSaratoga, CA 95070-0000 · (408) 741-2950 · Fax (408) 741-4930
Phone(408) 741-2950
Fax(408) 741-4930
Organization SubpartNo
Authorized OfficialBella O MahoneyCeo Administrator · (408) 741-2950
Enumeration DateNovember 30, 2006
Last NPPES UpdateMay 23, 2016
✔ NPI 1689742785 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 · 220000417
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.
20400 SARATOGA LOS GATOS ROAD, Saratoga, CA 95070
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification055435CA
MedicaidZZR05435FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0697178

Our Lady Of Fatima Villa · Saratoga, CA
Active · expires Aug 31, 2026
CLIA Number05D0697178
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPreston Wisner
Laboratory Phone(408) 741-2950
Laboratory LocationOur Lady Of Fatima Villa20400 Saratoga/Los Gatos Rd, Saratoga, CA 95070
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN NGUYEN OTR/L
Occupational Therapist
20400 SARATOGA LOS GATOS ROAD
SARATOGA, CA 95070
Santa Clara County (800) 967-4667

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 Our Lady Of Fatima Villa's NPI number?

The NPI number for Our Lady Of Fatima Villa is 1689742785. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Our Lady Of Fatima Villa located?

Our Lady Of Fatima Villa is located at 20400 Saratoga Los Gatos Road, Saratoga, CA 95070. The listed phone number is (408) 741-2950.

What is Our Lady Of Fatima Villa's specialty?

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

Does Our Lady Of Fatima Villa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0697178) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Our Lady Of Fatima Villa was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.