Organization Active NPI

Eskaton Properties, Incorporated

Doing business as Eskaton Care Center Greenhaven

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1114922614
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000158 Issued in CA
Legal business name
ESKATON PROPERTIES, INCORPORATED
Doing business as
Eskaton Care Center Greenhaven
Practice address
455 Florin Rd
Sacramento, CA 95831-2024
Phone
(916) 393-2550
Fax
(916) 393-1706
NPI assigned
Jun 20, 2005
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Mark Jenkins
Title
Chief Financial Officer
Phone
(916) 334-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030000158 CA Primary

Addresses

Primary practice location

455 Florin Rd
Sacramento, CA 95831-2024

Mailing address

5105 Manzanita Ave
Carmichael, CA 95608-0523
Phone (916) 334-0810

Other identifiers 1

IdentifierTypeStateIssuer
LTC55098FMedicaidCA

Other names 1

  • Eskaton Care Center Greenhaven Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0616708Eskaton Properties Inc455 Florin Rd, Sacramento, CA 95831Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1114922614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 MANZANITA AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080523",
            "telephone_number": "916-334-0810",
            "fax_number": "916-338-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312024",
            "telephone_number": "916-393-2550",
            "fax_number": "916-393-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESKATON PROPERTIES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-334-0810"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55098F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eskaton Care Center Greenhaven",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eskaton Care Center Greenhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.