Organization Active NPI

Silver Pines Care Home I, LLC

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1184396061
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SILVER PINES CARE HOME I, LLC
Practice address
8625 Hume CT
Elk Grove, CA 95624-1731
Phone
(916) 308-2968
Fax
(916) 685-0608
NPI assigned
Sep 29, 2021
Last updated
Jun 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Authorized official

Name
Debbie Loesch, LVN
Title
Member / Administrator
Phone
(916) 308-2968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

8625 Hume CT
Elk Grove, CA 95624-1731

Mailing address

8625 Hume CT
Elk Grove, CA 95624-1731
Phone (916) 308-2968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687046400000",
    "number": "1184396061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 HUME CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241731",
            "telephone_number": "916-308-2968",
            "fax_number": "916-685-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 HUME CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241731",
            "telephone_number": "916-308-2968",
            "fax_number": "916-685-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PINES CARE HOME I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "LOESCH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MEMBER / ADMINISTRATOR",
        "authorized_official_telephone_number": "916-308-2968",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "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 Jun 18, 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.