Healthcare Provider Details

I. General information

NPI: 1477488575
Provider Name (Legal Business Name): RESTORED FUTURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 N 1ST ST 411-2
SAN JOSE CA
95131-2020
US

IV. Provider business mailing address

2150 N. 1ST ST 411-2
SAN JOSE CA
95131-2020
US

V. Phone/Fax

Practice location:
  • Phone: 408-849-2146
  • Fax:
Mailing address:
  • Phone: 408-849-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHUKWUEMEKA IBEABUCHI
Title or Position: CEO
Credential:
Phone: 408-849-2146