NPIMap

Organization Active NPI

Abundant Care IV

  • Assisted Living Facility
  • Santa Barbara, CA
National Provider Identifier
1073890232
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
425801755 Issued in CA
Legal business name
ABUNDANT CARE IV
Practice address
5421 Berkeley Rd
Santa Barbara, CA 93111-1613
Phone
(805) 845-1608
Fax
(805) 845-1609
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Mr. Timothy Pryko, LVN
Title
Administrator
Phone
(805) 845-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 425801755 CA Primary

Addresses

Primary practice location

5421 Berkeley Rd
Santa Barbara, CA 93111-1613

Mailing address

5421 Berkeley Rd
Santa Barbara, CA 93111-1613
Phone (805) 845-1608

National Provider Directory

National Provider Directory
Tax ID family
Abundant Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1073890232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 BERKELEY RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111613",
            "telephone_number": "805-845-1608",
            "fax_number": "805-845-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 BERKELEY RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111613",
            "telephone_number": "805-845-1608",
            "fax_number": "805-845-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PRYKO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-845-1608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "425801755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.