Organization Active NPI

Summit Care Home

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1093086126
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347003096 Issued in CA
Legal business name
SUMMIT CARE HOME
Practice address
9440 Stone Springs Dr
Elk Grove, CA 95624-3960
Phone
(916) 479-4945
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Mrs. Mylene S Benigno-Perez
Title
Licensee/Administrator
Phone
(916) 479-4945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347003096 CA Primary

Addresses

Primary practice location

9440 Stone Springs Dr
Elk Grove, CA 95624-3960

Mailing address

9440 Stone Springs Dr
Elk Grove, CA 95624-3960
Phone (916) 479-4945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1093086126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 STONE SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243960",
            "telephone_number": "916-479-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 STONE SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243960",
            "telephone_number": "916-479-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "BENIGNO-PEREZ",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-479-4945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347003096",
            "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 Jan 20, 2012; 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.