Organization Active NPI

Summerset Assisted Living, LLC

  • Assisted Living Facility
  • Rancho Cordova, CA
National Provider Identifier
1376305300
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUMMERSET ASSISTED LIVING, LLC
Practice address
2341 Vehicle Dr
Rancho Cordova, CA 95670-2882
Phone
(916) 330-1300
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Mason Alexander Beasley
Title
Cfo
Phone
(916) 622-8701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2341 Vehicle Dr
Rancho Cordova, CA 95670-2882

Mailing address

2150 Douglas Blvd Ste 110
Roseville, CA 95661-3873
Phone (916) 622-8701

National Provider Directory

National Provider Directory

Locations

2150 Douglas Blvd
Ste 110
Roseville, CA 95661

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1376305300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 DOUGLAS BLVD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613873",
            "telephone_number": "916-622-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 VEHICLE DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702882",
            "telephone_number": "916-330-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSET ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-622-8701"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.