Organization Active NPI

Pearl Care Assisted Living Inc

  • Contractor
  • Fair Oaks, CA
National Provider Identifier
1306604335
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
PEARL CARE ASSISTED LIVING INC
Practice address
8523 Winding Way
Fair Oaks, CA 95628-6236
Phone
(916) 256-9400
Fax
(916) 200-0602
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Mr. Dorin DaniliucNPI 1003692468
Title
Administrator/ Owner
Phone
(916) 256-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

8523 Winding Way
Fair Oaks, CA 95628-6236

Mailing address

8523 Winding Way
Fair Oaks, CA 95628-6236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1306604335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 WINDING WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 WINDING WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286236",
            "telephone_number": "916-256-9400",
            "fax_number": "916-200-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CARE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DANILIUC",
        "authorized_official_first_name": "DORIN",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "916-256-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.