NPIMap

Organization Active NPI

Young at Heart Rcfe

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1235400086
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347000733 Issued in CA
Legal business name
YOUNG AT HEART RCFE
Practice address
9882 Cortino Way
Elk Grove, CA 95757-3049
Phone
(916) 686-8822
Fax
(916) 686-5515
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mrs. Lillian T. Sisayan, R.N. BSN
Title
Administrator/Owner
Phone
(916) 686-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347000733 CA Primary

Addresses

Primary practice location

9882 Cortino Way
Elk Grove, CA 95757-3049

Mailing address

9882 Cortino Way
Elk Grove, CA 95757-3049
Phone (916) 686-8822

National Provider Directory

National Provider Directory
Tax ID family
Young at Heart Rcfe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1235400086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9882 CORTINO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573049",
            "telephone_number": "916-686-8822",
            "fax_number": "916-686-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9882 CORTINO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573049",
            "telephone_number": "916-686-8822",
            "fax_number": "916-686-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART RCFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "SISAYAN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "916-686-8822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N. BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347000733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.