Organization Active NPI

Wholesome Elderly Care Homes, LLC

  • Assisted Living Facility
  • Fair Oaks, CA
National Provider Identifier
1164197000
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHOLESOME ELDERLY CARE HOMES, LLC
Practice address
6024 Kifisia Way
Fair Oaks, CA 95628-2520
Phone
(714) 678-0268
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Chris FaamausiliNPI 1962900852
Title
Managing-Member
Phone
(916) 970-2647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6024 Kifisia Way
Fair Oaks, CA 95628-2520

Mailing address

16930 Oak Tree Ave
Cottonwood, CA 96022-9683
Phone (916) 670-2647

Other names 1

  • Wholesome Elderly On Kifsia Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1164197000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 OAK TREE AVE",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229683",
            "telephone_number": "916-670-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 KIFISIA WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282520",
            "telephone_number": "714-678-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME ELDERLY CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "FAAMAUSILI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING-MEMBER",
        "authorized_official_telephone_number": "916-970-2647"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholesome Elderly On Kifsia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.