Organization Active NPI

Kenai River Holdings LLC

  • Assisted Living Facility
  • Livermore, CA
National Provider Identifier
1376157446
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KENAI RIVER HOLDINGS LLC
Practice address
790 Holmes St
Livermore, CA 94550-4229
Phone
(925) 583-5777
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Curtis Rodriguez
Title
Co-Ceo
Phone
(801) 608-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

790 Holmes St
Livermore, CA 94550-4229

Mailing address

16885 W Bernardo Dr Ste 216
San Diego, CA 92127-1620
Phone (858) 798-5700

Other names 1

  • TUSCANY VILLA SENIOR LIVING Doing business as

National Provider Directory

National Provider Directory

Locations

790 Holmes St
Livermore, CA 94550
Phone (925) 371-3090

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1376157446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271620",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 HOLMES ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504229",
            "telephone_number": "925-583-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI RIVER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "801-608-4065"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSCANY VILLA SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.