Organization Active NPI

Social Communities and Independent Living Support Services

  • Assisted Living Facility (Behavioral Disturbances)
  • Bakersfield, CA
National Provider Identifier
1073973079
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
157207092 Issued in CA
Legal business name
SOCIAL COMMUNITIES AND INDEPENDENT LIVING SUPPORT SERVICES
Practice address
4509 Foxboro Ave
Bakersfield, CA 93309-5812
Phone
(661) 529-0133
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Rosanda Anderson-West
Title
Chief Executive Officer
Phone
(661) 599-0837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 157207092 CA Primary

Addresses

Primary practice location

4509 Foxboro Ave
Bakersfield, CA 93309-5812

Mailing address

4509 Foxboro Ave
Bakersfield, CA 93309-5812
Phone (661) 529-0133

Other names 1

  • Companion Care Facilities Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Companion Care Facilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1073973079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 FOXBORO AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095812",
            "telephone_number": "661-529-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 FOXBORO AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095812",
            "telephone_number": "661-529-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL COMMUNITIES AND INDEPENDENT LIVING SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-WEST",
        "authorized_official_first_name": "ROSANDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-599-0837"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "157207092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Companion Care Facilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.