Organization Active NPI

Courtyard Healthcare Center

  • Skilled Nursing Facility
  • Davis, CA
National Provider Identifier
1225119803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COURTYARD HEALTHCARE CENTER
Practice address
1850 E 8TH St
Davis, CA 95616-2502
Phone
(530) 756-1800
Fax
(530) 759-1859
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Cannon Ormiston II
Title
Administrator
Phone
(530) 756-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1850 E 8TH St
Davis, CA 95616-2502

Mailing address

1850 E 8TH St
Davis, CA 95616-2502
Phone (530) 756-1800

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05922IMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225119803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E 8TH ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162502",
            "telephone_number": "530-756-1800",
            "fax_number": "530-759-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E 8TH ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162502",
            "telephone_number": "530-756-1800",
            "fax_number": "530-759-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORMISTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-756-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05922I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.