Augustus Elder Care Home, LLC

Key facts

NPI

1053906990

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

Legal business name

AUGUSTUS ELDER CARE HOME, LLC

Practice address

5105 Schuyler Dr
Carmichael, CA 95608-0832

Phone

(925) 922-4561

NPI assigned

Mar 3, 2021

Organization subpart

No

Authorized official

Name

Leilani Aragon

Title

Licensee/ Administrator

Phone

(925) 922-4561

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1053906990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 SCHUYLER DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 SCHUYLER DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080832",
            "telephone_number": "925-922-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS ELDER CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "LICENSEE/ ADMINISTRATOR",
        "authorized_official_telephone_number": "925-922-4561"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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