Active NPI
On My Own Independent Living Services
- In Home Supportive Care Agency
- Citrus Heights, CA
National Provider Identifier
1346792488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ON MY OWN INDEPENDENT LIVING SERVICES
- Practice address
- 6939 Sunrise Blvd
Suite 215
Citrus Heights, CA 95610-3153 - Phone
- (916) 726-0792
- NPI assigned
- Oct 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Ramirez
- Title
- Ceo
- Phone
- (916) 726-0792
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | CA | Primary |
Addresses
Primary practice location
6939 Sunrise Blvd
Suite 215
Citrus Heights, CA 95610-3153
Mailing address
6939 Sunrise Blvd
Suite 215
Citrus Heights, CA 95610-3153
Phone (916) 726-0792
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2407772 | Other | CA | COMPANY CORPORATION NUMBER |
| 347004697 | Other | CA | RCFE CARE HOME LICENSE |
| GEN-05336 | Other | CA | CALIFORNIA BUSINESS LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- On My Own Independent Living Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Citrus Heights, CA
- NPI 1225298144
Locations
6939 Sunrise Blvd
Ste 215
Citrus Heights, CA 95610
Phone (916) 726-0792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1346792488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6939 SUNRISE BLVD",
"address_2": "SUITE 215",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956103153",
"telephone_number": "916-726-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6939 SUNRISE BLVD",
"address_2": "SUITE 215",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956103153",
"telephone_number": "916-726-0792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON MY OWN INDEPENDENT LIVING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-726-0792"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPANY CORPORATION NUMBER",
"identifier": "2407772",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCFE CARE HOME LICENSE",
"identifier": "347004697",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BUSINESS LICENSE",
"identifier": "GEN-05336",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.