Organization Active NPI

Cuico-Williams Corporation

  • Assisted Living Facility
  • Northridge, CA
National Provider Identifier
1215508189
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CUICO-WILLIAMS CORPORATION
Doing business as
Healthy Life Residential Care
Practice address
8627 Bothwell Rd
Northridge, CA 91324-4112
Phone
(805) 444-8868
Fax
(818) 927-6066
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Francis Cuico
Title
Administrator
Phone
(805) 444-8868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8627 Bothwell Rd
Northridge, CA 91324-4112

Mailing address

8627 Bothwell Rd
Northridge, CA 91324-4112
Phone (805) 444-8868

Other names 1

  • Healthy Life Residential Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kandicevergara@yahoo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1215508189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 BOTHWELL RD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244112",
            "telephone_number": "805-444-8868",
            "fax_number": "818-927-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 BOTHWELL RD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244112",
            "telephone_number": "805-444-8868",
            "fax_number": "818-927-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUICO-WILLIAMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "CUICO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-444-8868"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kandicevergara@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "8627 Bothwell Rd",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913244112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Life Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.