WILLOW GLEN
NPI 1841594777
Assisted Living Facility in San Jose, CA

Q: What is Arv Assisted Living, Inc.'s NPI number?

The NPI number for Arv Assisted Living, Inc. is 1841594777. It was assigned to this organization in the NPPES registry on January 7, 2011. The provider is doing business as Willow Glen.

Q: What is Arv Assisted Living, Inc.'s specialty?

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

Active since January 07, 2011

1660 GATON DR, SAN JOSE, CA 95125(408) 266-1660 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Willow Glen NPPES

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

WILLOW GLEN (NPI 1841594777) is a healthcare organization registered as an assisted living facility in San Jose, California and active in the NPI registry since January 2011. The organization lists John Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841594777

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameARV ASSISTED LIVING, INC.

Location Address1660 GATON DRSan Jose, CA 95125-4534

Mailing Address1660 Gaton DrSan Jose, CA 95125-4534 · (408) 266-1660

Phone(408) 266-1660

Organization SubpartYes

Authorized OfficialJohn MooreCeo · (502) 779-7608

Enumeration DateJanuary 7, 2011

✔ NPI 1841594777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

1660 GATON DR, San Jose, CA 95125

Open in Google Maps ↗

Other Names 1

Doing Business AsWillow Glen

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 05D0643959

Willow Glen Convalescent Hospital · San Jose, CA

Expired · Aug 31, 2026

CLIA Number05D0643959

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAlice K. Mau

Laboratory Phone(408) 265-4211

Laboratory LocationWillow Glen Convalescent Hospital1267 Meridian Avenue, San Jose, CA 95125

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Arv Assisted Living, Inc.'s NPI number?

The NPI number for Arv Assisted Living, Inc. is 1841594777. It was assigned to this organization in the NPPES registry on January 7, 2011. The provider is doing business as Willow Glen.

Where is Arv Assisted Living, Inc. located?

Arv Assisted Living, Inc. is located at 1660 Gaton Dr, San Jose, CA 95125. The listed phone number is (408) 266-1660.

What is Arv Assisted Living, Inc.'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 Arv Assisted Living, Inc. was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.