Diamond Oak Senior Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIAMOND OAK SENIOR LIVING INC

Practice address

8636 Diamond Oak Way
Elk Grove, CA 95624-1755

Phone

(916) 690-8874

Fax

(916) 895-2482

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Dolsora Nuez Tilar

Title

President

Phone

(916) 647-7772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1114567716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 PARTINGTON CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576282",
            "telephone_number": "916-647-7772",
            "fax_number": "916-895-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8636 DIAMOND OAK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241755",
            "telephone_number": "916-690-8874",
            "fax_number": "916-895-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND OAK SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "TILAR",
        "authorized_official_first_name": "DOLSORA",
        "authorized_official_middle_name": "NUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-647-7772"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Elk Grove, CA
• Providers in Elk Grove, 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 10, 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.