FRUITFUL LIVING ENTERPRISES – NPI #1942004320
Clinic/Center

FRUITFUL LIVING ENTERPRISES is an AHC clinic located in SAN JOSE, CA. NPPES has assigned the NPI number 1942004320 to FRUITFUL LIVING ENTERPRISES on April 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRUITFUL LIVING ENTERPRISES below.

NPI Profile for
FRUITFUL LIVING ENTERPRISES

NPI Number
1942004320
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRUITFUL LIVING ENTERPRISES
Primary location
467 SARATOGA AVE
STE 221
SAN JOSE, CA 95129
Phone: (405) 515-9478 Fax:
Mailing address
467 SARATOGA AVE STE 221
SAN JOSE, CA 95129-1326
Phone: (405) 515-9478 Fax: (408) 709-3358
Organization Subpart
No
Authorized Official
JANIS KING
CEO
Phone: (408) 249-4697
Updated
Certification Date
Mar 31, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.