NPIMap

Organization Active NPI

Elan Senior Living, Inc.

  • Substance Abuse Rehabilitation Facility
  • Modesto, CA
National Provider Identifier
1225279888
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
507004153 Issued in CA
Legal business name
ELAN SENIOR LIVING, INC.
Doing business as
THE LIVING CENTER
Practice address
412 Corson Ave
Modesto, CA 95350-5408
Phone
(209) 491-0686
Fax
(209) 575-2017
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Ms. Nicole Deanne Blanchard
Title
Office Manager
Phone
(209) 491-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 507004153 CA Primary

Addresses

Primary practice location

412 Corson Ave
Modesto, CA 95350-5408

Mailing address

416 Corson Ave
Modesto, CA 95350
Phone (209) 491-0686

Other names 1

  • THE LIVING CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elan Senior Living Dba the Living Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

416 Corson Ave
Modesto, CA 95350
Phone (209) 521-1805

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1225279888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CORSON AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-491-0686",
            "fax_number": "209-575-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CORSON AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505408",
            "telephone_number": "209-491-0686",
            "fax_number": "209-575-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-491-0686",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "507004153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.