Vintage Estates Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

142744 Issued in CA

Legal business name

VINTAGE ESTATES INC

Doing business as

Vintage Estates of Sacramento

Practice address

501 Jessie Ave
Sacramento, CA 94588

Phone

(916) 922-8855

Fax

(916) 922-6208

NPI assigned

Oct 26, 2005

Last updated

Jan 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SR ADMINISTRATIVE SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Sally Jane Rapp

Title

Director

Phone

(510) 782-3825

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vintage Estates of Sacramento Doing business as

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1205826690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25919 GADING RD",
            "address_2": "1",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442725",
            "telephone_number": "510-782-3825",
            "fax_number": "510-782-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JESSIE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "916-922-8855",
            "fax_number": "916-922-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE ESTATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SR ADMINISTRATIVE SERVICES, INC",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-782-3825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "142744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18463J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Estates of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Lee Vinson
• David R. Vinson, MD
• Martina Marie Vinson
• Renee Patrick Devon Vinson
• Debra Lynn Vint
• Anna Elspeth Vinter, M.D.
• Eddiemay Fox Viodes
• Anna Christina Vipond
• Jasmin Viray
• Robin Viray

• Skilled Nursing Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.