NPIMap

Organization Active NPI

Elan Senior Living Dba the Living Center

  • Substance Abuse Rehabilitation Facility
  • Patterson, CA
National Provider Identifier
1093866527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
500013AP Issued in CA
Legal business name
ELAN SENIOR LIVING DBA THE LIVING CENTER
Practice address
821 E St
Patterson, CA 95363-2670
Phone
(209) 892-3487
Fax
(209) 892-1387
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Alen Pauly, CAS
Title
Program Director
Phone
(209) 892-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 500013AP CA Primary

Addresses

Primary practice location

821 E St
Patterson, CA 95363-2670

Mailing address

PO Box 1626
821 E St.
Patterson, CA 95363-1626
Phone (209) 892-3487

Other identifiers 1

IdentifierTypeStateIssuer
004929OtherCAPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Elan Senior Living Dba the Living Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093866527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1626",
            "address_2": "821 E ST.",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953631626",
            "telephone_number": "209-892-3487",
            "fax_number": "209-892-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632670",
            "telephone_number": "209-892-3487",
            "fax_number": "209-892-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN SENIOR LIVING DBA THE LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "209-892-3487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "500013AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "004929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.