Provider Demographics
NPI:1720486715
Name:VILA MONTE
Entity type:Organization
Organization Name:VILA MONTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:408-993-9268
Mailing Address - Street 1:P. O. BOX Z
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95151
Mailing Address - Country:US
Mailing Address - Phone:408-993-9268
Mailing Address - Fax:408-947-1923
Practice Address - Street 1:17090 PEAK AVE
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037
Practice Address - Country:US
Practice Address - Phone:408-993-9268
Practice Address - Fax:408-947-1923
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CNBA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility