Organization Active NPI

Ciminocare Carefree Assisted Living D/B/a Fruitridge Villa

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1194121129
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347005281 Issued in CA
Legal business name
CIMINOCARE CAREFREE ASSISTED LIVING D/B/A FRUITRIDGE VILLA
Practice address
5490 Enrico Blvd
Sacramento, CA 95820-6438
Phone
(916) 704-0328
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Adina Nitu
Title
Administrator
Phone
(916) 704-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347005281 CA Primary

Addresses

Primary practice location

5490 Enrico Blvd
Sacramento, CA 95820-6438

Mailing address

5490 Enrico Blvd
Sacramento, CA 95820-6438

National Provider Directory

National Provider Directory
Tax ID family
Carefree Assisted Living2 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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1194121129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 ENRICO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 ENRICO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206438",
            "telephone_number": "916-704-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMINOCARE CAREFREE ASSISTED LIVING D/B/A FRUITRIDGE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "NITU",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-704-0328"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347005281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.