Active NPI
Social Communities and Independent Living Support Services
- Assisted Living Facility (Behavioral Disturbances)
- Bakersfield, CA
National Provider Identifier
1073973079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- License
- 157207092
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Companion Care Facilities
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Bakersfield, CA
- NPI 1285031674
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.