Country Palms Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

397002983 Issued in CA

Legal business name

COUNTRY PALMS CARE HOME

Doing business as

Joseph J Triplett

Practice address

2905 Bristol Ave
Stockton, CA 95204-3935

Phone

(209) 462-1135

Fax

(209) 462-0335

NPI assigned

Jan 2, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph J Triplett

Title

Owner/Licensee

Phone

(209) 462-1135

Specialties & licenses 1

Addresses

Other names 1

• Joseph J Triplett Doing business as

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083899660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BRISTOL AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043935",
            "telephone_number": "209-462-1135",
            "fax_number": "209-462-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 BRISTOL AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043935",
            "telephone_number": "209-462-1135",
            "fax_number": "209-462-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PALMS CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "209-462-1135"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph J Triplett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Rodney Cotton, D.D.S.
• Dejanae Breyanna Cotton
• Korie Cottrell
• Madison Annelise Coty
• Ashlyn Brooke Couillard
• County of San Joaquin (San Joaquin County Clinics CHS)
• County of San Joaquin (San Joaquin County Clinics HBC)
• County of San Joaquin (San Joaquin County Clinic Hazelton)
• County of San Joaquin (Mental Health Services Pharmacy)
• County of San Joaquin (San Joaquin County Clinics FPC)

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.