NPIMap

Organization Active NPI

Ivy Cottages I

  • Assisted Living Facility
  • Fountain Valley, CA
National Provider Identifier
1366018087
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
IVY COTTAGES I
Practice address
9856 Mariposa Ave
Fountain Valley, CA 92708-2911
Phone
(714) 775-1128
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Carmen Rodrigues
Title
Owner
Phone
(714) 775-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9856 Mariposa Ave
Fountain Valley, CA 92708-2911

Mailing address

9856 Mariposa Ave
Fountain Valley, CA 92708-2911
Phone (714) 775-1128

National Provider Directory

National Provider Directory
Tax ID family
Ivy Cottages I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1366018087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 MARIPOSA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082911",
            "telephone_number": "714-775-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 MARIPOSA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082911",
            "telephone_number": "714-775-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY COTTAGES I",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-775-1128"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.