Mother Virginia Loving Care, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

347005727 Issued in CA

Legal business name

MOTHER VIRGINIA LOVING CARE, INC

Practice address

9847 Lincoln Village Dr
Sacramento, CA 95827-3401

Phone

(916) 801-8917

Fax

(916) 476-3622

NPI assigned

Jan 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jcthy Wisdom M Obtinalla, REGISTERED NURSE

Title

Rcfe Administrator, President,Owner

Phone

(916) 801-8917

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1114463163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10949 HAVESHILL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553073",
            "telephone_number": "916-801-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 LINCOLN VILLAGE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273401",
            "telephone_number": "916-801-8917",
            "fax_number": "916-476-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER VIRGINIA LOVING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "OBTINALLA",
        "authorized_official_first_name": "JCTHY WISDOM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RCFE ADMINISTRATOR, PRESIDENT,OWNER",
        "authorized_official_telephone_number": "916-801-8917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Marie Mott

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, 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 Jan 16, 2017; 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.