OrganizationActive
Koobamo,llc
NPI 1104357102 · Assisted Living Facility · Oakland, CA
Koobamo,llc is a Assisted Living Facility organization in Oakland, CA (NPI 1104357102).
Provider details
- NPI number
- 1104357102
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hasmin Koo, Managing Member(408) 202-2236
- License
- 019200695 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5472 Foothill Blvd
Oakland, CA 94601-5516
Phone: (408) 202-2236
Street-level locationGet directions
Mailing address
5472 Foothill Blvd
Oakland, CA 94601-5516
Other names (DBA / former)
- Doing business as
- Good Shepherd Vista
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2017-03-22
Frequently asked questions
- What is Koobamo,llc's NPI number?
- Koobamo,llc's National Provider Identifier (NPI) is 1104357102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koobamo,llc?
- Koobamo,llc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Koobamo,llc located?
- Koobamo,llc's practice location on file with NPPES is 5472 Foothill Blvd, Oakland, CA 94601-5516.
- What is Koobamo,llc's phone number?
- The practice phone number listed in the NPPES registry for Koobamo,llc is (408) 202-2236.
- Who is the authorized official for Koobamo,llc?
- The authorized official listed on Koobamo,llc's NPPES record is Hasmin Koo, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koobamo,llc's NPI active?
- Yes — Koobamo,llc's NPI (1104357102) is active in the NPPES registry as of the last update on 2017-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.