# CASAVINA FOUNDATION CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720032329
- **Authorized official:** JOSH HEDGER (ADMINISTRATOR)
- **Authorized official phone:** (408) 238-9751

## Contact information

- **Practice address:** 2501 ALVIN AVE, SAN JOSE, CA 95121-1660
- **Practice address phone:** (408) 238-9751
- **Practice address fax:** (408) 238-3905
- **Mailing address:** 2501 ALVIN AVE, SAN JOSE, CA 95121-1660
- **Mailing address phone:** (408) 238-9751
- **Mailing address fax:** (408) 238-3905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 070000265 | CA | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 01/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CMCSUBHDY | — | CA |
| 05 | — | LTC554875 | — | CA |