NPIMap

Organization Active NPI

Orange Crest Guest Home

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1154695781
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ORANGE CREST GUEST HOME
Practice address
9279 Orange Crest CT
Elk Grove, CA 95624-2820
Phone
(916) 685-8388
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Ms. Juliebeth B Arzadon
Title
Licensee/Administrator
Phone
(916) 685-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9279 Orange Crest CT
Elk Grove, CA 95624-2820

Mailing address

9279 Orange Crest CT
Elk Grove, CA 95624-2820
Phone (916) 685-8388

National Provider Directory

National Provider Directory
Tax ID family
Marine Residential Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1154695781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 ORANGE CREST CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242820",
            "telephone_number": "916-685-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 ORANGE CREST CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242820",
            "telephone_number": "916-685-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CREST GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "ARZADON",
        "authorized_official_first_name": "JULIEBETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-685-8388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.