K.C.'S Sunshine Homes

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

LTC80009H Issued in CA

Legal business name

K.C.'S SUNSHINE HOMES

Practice address

125 Brownstone Rd
Oakley, CA 94561-5900

Phone

(925) 757-7374

Fax

(925) 757-7374

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Cook

Title

Owner

Phone

(925) 757-7374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376692814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 WESTBOURNE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095151",
            "telephone_number": "925-757-7374",
            "fax_number": "925-757-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROWNSTONE RD",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945615900",
            "telephone_number": "925-757-7374",
            "fax_number": "925-757-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.C.'S SUNSHINE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-757-7374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "LTC80009H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Oakley, CA
• Providers in Oakley, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.