Organization Active NPI

Mba Care Homes LLC

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1356749675
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347004960 Issued in CA
Legal business name
MBA CARE HOMES LLC
Practice address
2629 Eastern Ave
Sacramento, CA 95821-6636
Phone
(916) 972-9668
Fax
(916) 489-2163
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Romeo Apuya Jr.
Title
Managing Member
Phone
(916) 972-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347004960 CA Primary

Addresses

Primary practice location

2629 Eastern Ave
Sacramento, CA 95821-6636

Mailing address

2629 Eastern Ave
Sacramento, CA 95821-6636
Phone (916) 972-9668

Other names 1

  • EASTERN MANOR Other name

National Provider Directory

National Provider Directory

Locations

2629 Eastern Ave
Sacramento, CA 95821
Phone (916) 972-9668

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1356749675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216636",
            "telephone_number": "916-972-9668",
            "fax_number": "916-489-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216636",
            "telephone_number": "916-972-9668",
            "fax_number": "916-489-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBA CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "APUYA",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-972-9668",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347004960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTERN MANOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.