NPIMap

Organization Active NPI

Stetson Court Living, LLC

  • Respite Care
  • Stockton, CA
National Provider Identifier
1245605252
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
397005195 Issued in CA
Legal business name
STETSON COURT LIVING, LLC
Practice address
3913 Stetson CT
Stockton, CA 95206-6089
Phone
(209) 910-9138
Fax
(877) 683-4513
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Albert A Gaoiran
Title
President
Phone
(408) 876-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 397005195 CA Primary

Addresses

Primary practice location

3913 Stetson CT
Stockton, CA 95206-6089

Mailing address

3913 Stetson CT
Stockton, CA 95206-6089
Phone (209) 910-9138

Other names 1

  • STETSON COURT LIVING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stetson Court Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1245605252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 STETSON CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066089",
            "telephone_number": "209-910-9138",
            "fax_number": "877-683-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 STETSON CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066089",
            "telephone_number": "209-910-9138",
            "fax_number": "877-683-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON COURT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "GAOIRAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-876-9445"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "397005195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STETSON COURT LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.