NPIMap

Organization Active NPI

Young at Heart Rcfe

  • Physical Disabilities Residential Treatment Facility
  • Elk Grove, CA
National Provider Identifier
1073921250
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
347001885 Issued in CA
Legal business name
YOUNG AT HEART RCFE
Practice address
9882 Cortino Way
Elk Grove, CA 95757-3049
Phone
(916) 686-8822
Fax
(916) 686-5515
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Lillian Sisayan, R.N., BSN
Title
Ceo
Phone
(916) 320-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 347001885 CA Primary

Addresses

Primary practice location

9882 Cortino Way
Elk Grove, CA 95757-3049

Mailing address

9882 Cortino Way
Elk Grove, CA 95757-3049
Phone (916) 686-8822

National Provider Directory

National Provider Directory
Tax ID family
Young at Heart Rcfe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1073921250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9882 CORTINO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573049",
            "telephone_number": "916-686-8822",
            "fax_number": "916-686-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9882 CORTINO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573049",
            "telephone_number": "916-686-8822",
            "fax_number": "916-686-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART RCFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SISAYAN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-320-4857",
        "authorized_official_credential": "R.N., BSN"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "347001885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.