Cherokee Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHEROKEE RETIREMENT HOME

Practice address

4124 Cherokee Rd
Stockton, CA 95215-2201

Phone

(209) 518-1908

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Jagtar Singh

Title

Licensee

Phone

(209) 518-1908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1154109882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 CHEROKEE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952152201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 CHEROKEE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952152201",
            "telephone_number": "209-518-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JAGTAR",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "209-518-1908"
    },
    "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 Stockton, CA
• Providers in Stockton, 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 Sep 14, 2023; 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.