EVONNE'S RESIDENTIAL CARE FACILITY NPI 1356152292

NPI Information

  • NPI: 1356152292
  • Provider Name: EVONNE'S RESIDENTIAL CARE FACILITY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2719 PENITENCIA CREEK RD
    SAN JOSE, CA
    ZIP 95132
  • Phone: (408) 770-2115

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NPI Details

EVONNE'S RESIDENTIAL CARE FACILITY is an assisted living facility in San Jose, CA. The provider is 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. EVONNE'S RESIDENTIAL CARE FACILITY NPI is 1356152292. The provider is registered as an organization entity type.

The provider's business location address is:

2719 PENITENCIA CREEK RD
SAN JOSE, CA
ZIP 95132-923
Phone: (408) 770-2115

The provider's authorized official is Evonne Evien .
The authorized official title is Ceo and has the following contact phone number (408) 702-7325.

The enumeration date for this NPI number is 1/20/2025 and was last updated on 1/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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