River Fountains of Lodi

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

397004012 Issued in CA

Legal business name

RIVER FOUNTAINS OF LODI

Practice address

311 W Turner Rd
Lodi, CA 95240-0517

Phone

(209) 334-3763

Fax

(209) 334-1173

NPI assigned

Nov 17, 2010

Organization subpart

Yes

Parent organization

CIMINOCAREAs reported in NPPES

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

Authorized official

Name

Mr. Mark Cimino

Title

Ceo

Phone

(916) 704-6275

Specialties & licenses 1

Addresses

Part of

Ciminocare

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ciminocare

  • Respite Care
  • Citrus Heights, CA
  • NPI 1992553739
  NPPES parent name

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1265734636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103059",
            "telephone_number": "916-486-9639",
            "fax_number": "916-486-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W TURNER RD",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952400517",
            "telephone_number": "209-334-3763",
            "fax_number": "209-334-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FOUNTAINS OF LODI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIMINOCARE",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-704-6275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397004012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Rigdon, MD
• Joanny Rincon
• Morgan Rineheart
• George Rios, PTA
• Donald A. Ritzman, D.D.S.
• Sarah Marie Rivera
• Fredrick L Rivers
• RMC Marriage and Family Therapy Group Corporation
• Tanya Roberts
• David Daniel Robinson, DO

• Assisted Living Facility in Lodi, CA
• Providers in Lodi, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.