Organization Active NPI

Foundation Living LLC

  • Case Manager/Care Coordinator
  • Elk Grove, CA
National Provider Identifier
1245178516
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FOUNDATION LIVING LLC
Practice address
9800 Bruceville Rd
Elk Grove, CA 95757-9536
Phone
(408) 373-2056
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Moses Rodriguez
Title
Sober Living Home Owner
Phone
(408) 373-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

9800 Bruceville Rd
Elk Grove, CA 95757-9536

Mailing address

531 Eureka Ave
Lodi, CA 95240-1015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1245178516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 EUREKA AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BRUCEVILLE RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579536",
            "telephone_number": "408-373-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "SOBER LIVING HOME OWNER",
        "authorized_official_telephone_number": "408-373-2056"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Mar 24, 2026; 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.