Organization Active NPI

Young at Heart Rcfe No 5 Inc

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1073251112
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
YOUNG AT HEART RCFE NO 5 INC
Practice address
8039 Caymus Dr
Sacramento, CA 95829-1258
Phone
(916) 681-3689
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lillian Sisayan
Title
Licensee
Phone
(916) 320-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

8039 Caymus Dr
Sacramento, CA 95829-1258

Mailing address

8039 Caymus Dr
Sacramento, CA 95829-1258
Phone (916) 681-3689

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1073251112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 CAYMUS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291258",
            "telephone_number": "916-681-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 CAYMUS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291258",
            "telephone_number": "916-681-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART RCFE NO 5 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "SISAYAN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "916-320-4857"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.