NPIMap

Organization Active NPI

Arv Assisted Living, Inc.

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1346544236
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ARV ASSISTED LIVING, INC.
Practice address
3318 Brookside Rd
Stockton, CA 95219-2343
Phone
(209) 473-1300
NPI assigned
Jan 6, 2011
Organization subpart
Yes
Parent organization
ARV ASSISTED LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
John Moore
Title
Ceo
Phone
(502) 779-7608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3318 Brookside Rd
Stockton, CA 95219-2343

Mailing address

3318 Brookside Rd
Stockton, CA 95219-2343
Phone (209) 473-1300

Other names 1

  • Bayside Landing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arv Assited Living Inc30 organizations share this tax ID, including this one
Part of
Arv Assited Living Inc

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1346544236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 BROOKSIDE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192343",
            "telephone_number": "209-473-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BROOKSIDE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192343",
            "telephone_number": "209-473-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARV ASSISTED LIVING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARV ASSISTED LIVING, INC.",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-779-7608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Landing",
            "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 Jan 6, 2011; 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.