DIYA SENIOR CARE CORP (NPI# 1922584903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922584903 |
Entity Type | Organization |
Organization Name | DIYA SENIOR CARE CORP |
Other Organization Name | DIYA SENIOR CARE HOME |
Practice Address |
366 Lassenpark Cir San Jose CA 95136-2159 |
Mailing Address |
276 Clearpark Cir San Jose CA 95136-2308 |
Practice Telephone | 4088321153 |
Practice Fax Number | 4088321153 |
Mailing Telephone | 4088321153 |
Mailing Fax Number | 4086290388 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Authorized Official Name | BANI KAUR (LICENSEE) |
Authorized Official Telephone | 4088321153 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
435202608 | CA | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Diya Senior Care Home | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174020879 | Diya Senior Care Corp | Assisted Living Facility | 276 Clearpark Cir, San Jose, CA 95136-2308 | 2018-04-09 |
Street Address |
366 LASSENPARK CIR |
City | SAN JOSE |
State | CA |
Zip Code | 95136-2159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
Find all providers in zip 95136 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720157050 | Crestwood Behavioral Health, Inc. | Assisted Living Facility | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700409356 | Ever Well Health Systems, LLC | Assisted Living Facility | 1201 W Swain Rd, Stockton, CA 95207-4228 | 2020-05-18 |
1952935538 | Integrated Family Enrichment Services | Assisted Living Facility | 11423 Citrus Glen Ln, Fontana, CA 92337-1040 | 2020-02-23 |
1174157721 | Oakview-eldorado Oaks, Inc | Assisted Living Facility | 1762 Dale Rd, Glendora, CA 91740-5431 | 2020-02-22 |
1952955841 | Green Merrylands Inc | Assisted Living Facility | 15986 Baltray Way, Fontana, CA 92336-4546 | 2019-07-29 |
1639722002 | Golden Living In Sylmar, Inc. | Assisted Living Facility | 14060 Astoria Street, Sylmar, CA 91342-2949 | 2019-07-24 |
1437701307 | Arlington Management LLC | Assisted Living Facility | 4609 Arlington Ave, Riverside, CA 92504-2705 | 2019-07-11 |
1215404769 | Arm Group Homes LLC. | Assisted Living Facility | 53 Newburn Ct, Beaumont, CA 92223-3131 | 2018-11-01 |
1679052849 | Laulelei Care Solutions LLC | Assisted Living Facility | 7551 Sweetfern Way, Sacramento, CA 95822-5726 | 2018-08-09 |
1992293732 | Recuperative and Supportive Services, LLC | Assisted Living Facility | 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 | 2018-04-26 |
1033644570 | Monze Senior Residential Care Inc | Assisted Living Facility | 1143 Purdy St, Spring Valley, CA 91977-4754 | 2017-04-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.