Folsom Countryhouse Op Co LLLP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOLSOM COUNTRYHOUSE OP CO LLLP

Doing business as

CountryHouse Folsom

Practice address

2005 Iron Point Rd
Folsom, CA 95630-7850

Phone

(916) 836-8022

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By 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

Stacy Randels

Title

VP Asset Management

Phone

(531) 800-3364

Specialties & licenses 1

Addresses

Other names 1

• CountryHouse Folsom Doing business as

Locations

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1114812633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307850",
            "telephone_number": "916-836-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307850",
            "telephone_number": "916-836-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM COUNTRYHOUSE OP CO LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VP ASSET MANAGEMENT",
        "authorized_official_telephone_number": "531-800-3364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CountryHouse Folsom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Folsom Chiropractic LLC (Folsom Chiropractic)
• Folsom City MD (Sac City MD)
• Folsom Dental Group
• Folsom Dermatology
• Folsom Endoscopy Center LLC (Folsom Sierra Endoscopy Center)
• Folsom Family and Sports Medical Group Inc.
• Folsom in-Patient Medical Group

• Assisted Living Facility in Folsom, CA
• Providers in Folsom, 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 12, 2025; 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.