HCP Santa Rosa Ca Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HCP SANTA ROSA CA OPCO, LLC

Doing business as

Arbol Residences of Santa Rosa

Practice address

300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720

Phone

(707) 566-8600

Fax

(707) 566-7936

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Gilbert Carrasco

Title

Executive Director

Phone

(415) 453-7425

Specialties & licenses 1

Addresses

Other names 1

• Arbol Residences of Santa Rosa Doing business as

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1235607045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOUNTAINGROVE PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035720",
            "telephone_number": "707-566-8600",
            "fax_number": "707-566-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOUNTAINGROVE PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035720",
            "telephone_number": "707-566-8600",
            "fax_number": "707-566-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCP SANTA ROSA CA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-453-7425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbol Residences of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbol Residences of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Santa Rosa, CA
• Providers in Santa Rosa, 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 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.