Organization · Type 2 NPI

Lassenpark Villa Inc

Assisted Living Facility (Mental Illness) · San Jose, CA

NPI number 1124978135 Active

Practice location

364 Lassenpark Cir
San Jose, CA 95136-2159

Fax (408) 320-2415

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1124978135

Lassenpark Villa Inc's National Provider Identifier is 1124978135, issued on Jan 29, 2026. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in San Jose, CA. The record was last updated on Jan 29, 2026.