Provider Demographics
NPI:1427379312
Name:INNVISION THE WAY HOME
Entity Type:Organization
Organization Name:INNVISION THE WAY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:SCOVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-292-4286
Mailing Address - Street 1:1900 THE ALAMEDA
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1427
Mailing Address - Country:US
Mailing Address - Phone:408-292-4286
Mailing Address - Fax:408-271-0826
Practice Address - Street 1:358 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2325
Practice Address - Country:US
Practice Address - Phone:408-271-5160
Practice Address - Fax:408-271-5119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care