Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evangelina Jacy

Individual provider Assisted Living Facility · NPI 1003365180

Evangelina Jacy is an Assisted Living Facility in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1820 Bethany Ave
San Jose, CA 95132-1514
Phone: (408) 250-2568
Fax: (408) 729-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 435201652 (CA)

Record details

NPI number1003365180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016

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