Organization Active NPI

Caloaks Care Group Inc

Doing business as CalOaks Senior Living

  • Assisted Living Facility
  • Riverside, CA
National Provider Identifier
1255755237
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336426029 Issued in CA
Legal business name
CALOAKS CARE GROUP INC
Doing business as
CalOaks Senior Living
Practice address
3891 Polk St
Riverside, CA 92505-1703
Phone
(951) 689-6162
Fax
(951) 689-6182
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mr. Victor S Charnetsky
Title
Ceo/President
Phone
(949) 315-6057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336426029 CA Primary

Addresses

Primary practice location

3891 Polk St
Riverside, CA 92505-1703

Mailing address

3891 Polk St
Riverside, CA 92505-1703
Phone (951) 689-6162

Other names 1

  • CalOaks Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1255755237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3891 POLK ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051703",
            "telephone_number": "951-689-6162",
            "fax_number": "951-689-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3891 POLK ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051703",
            "telephone_number": "951-689-6162",
            "fax_number": "951-689-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALOAKS CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "CHARNETSKY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-315-6057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336426029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CalOaks Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.