Organization Active NPI

Morgan Creek Villa Inc

  • Adult Care Home Facility
  • Roseville, CA
National Provider Identifier
1144087933
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MORGAN CREEK VILLA INC
Practice address
9565 Pinehurst Dr
Roseville, CA 95747-6334
Phone
(916) 858-9780
Fax
(916) 357-9758
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Robert King, OWNER
Title
Facility Manager
Phone
(916) 858-9780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

9565 Pinehurst Dr
Roseville, CA 95747-6334

Mailing address

9565 Pinehurst Dr
Roseville, CA 95747-6334
Phone (916) 858-9780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1144087933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 PINEHURST DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476334",
            "telephone_number": "916-858-9780",
            "fax_number": "916-357-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 PINEHURST DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476334",
            "telephone_number": "916-858-9780",
            "fax_number": "916-357-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN CREEK VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "916-858-9780",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.