Organization Active NPI

On My Own Independent Living Services

  • In Home Supportive Care Agency
  • Citrus Heights, CA
National Provider Identifier
1346792488
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 25, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2407772OtherCACOMPANY CORPORATION NUMBER
347004697OtherCARCFE CARE HOME LICENSE
GEN-05336OtherCACALIFORNIA BUSINESS LICENSE

National Provider Directory

National Provider Directory
Tax ID family
On My Own Independent Living Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.