Active NPI
Ciminocare Carefree Assisted Living D/B/a Fruitridge Villa
- Assisted Living Facility
- Sacramento, CA
National Provider Identifier
1194121129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 347005281
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Sacramento, CA
- NPI 1902218472
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.