BOUGAINVILLEAS CARE LLC NPI 1881146843

NPI Information

  • NPI: 1881146843
  • Provider Name: BOUGAINVILLEAS CARE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BOUGAINVILLEAS CARE HOME
  • Address: 201 ALTA VISTA DR
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Phone: (650) 737-0832

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NPI Details

BOUGAINVILLEAS CARE LLC is an assisted living facility in South San Francisco, 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. BOUGAINVILLEAS CARE LLC NPI is 1881146843. The provider is registered as an organization entity type.
The provider Is Doing Business As Bougainvilleas Care Home.

The provider's business location address is:

201 ALTA VISTA DR
SOUTH SAN FRANCISCO, CA
ZIP 94080-702
Phone: (650) 737-0832
Fax: (650) 737-0834

The provider's authorized official is Liwayway Pena .
The authorized official title is Administrator and has the following contact phone number (650) 580-5008.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.

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 Facility415600721CALIFORNIAYes

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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