Provider Demographics
NPI:1518091974
Name:ALMOND HOME, INC.
Entity Type:Organization
Organization Name:ALMOND HOME, INC.
Other - Org Name:ALMOND HOME ICFDDN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:CAPALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-274-8241
Mailing Address - Street 1:2962 ALMOND DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2001
Mailing Address - Country:US
Mailing Address - Phone:408-274-8241
Mailing Address - Fax:408-274-8251
Practice Address - Street 1:2962 ALMOND DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2001
Practice Address - Country:US
Practice Address - Phone:408-274-8241
Practice Address - Fax:408-274-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8344037Medicaid