Organization Active NPI

Forever Young Assisted Living, Inc.

  • Assisted Living Facility
  • Redwood City, CA
National Provider Identifier
1396676243
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FOREVER YOUNG ASSISTED LIVING, INC.
Practice address
1931 Woodside Rd
Redwood City, CA 94061-3336
Phone
(650) 369-3197
Fax
(650) 369-8557
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Skylar Arenas
Title
Office Manager
Phone
(650) 559-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1931 Woodside Rd
Redwood City, CA 94061-3336

Mailing address

3333 S Bascom Ave
Campbell, CA 95008-7005
Phone (650) 559-8301

National Provider Directory

National Provider Directory

Locations

3333 S Bascom Ave
Campbell, CA 95008

1931 Woodside Rd
Redwood City, CA 94061
Phone (650) 328-3300

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1396676243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087005",
            "telephone_number": "650-559-8301",
            "fax_number": "408-559-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613336",
            "telephone_number": "650-369-3197",
            "fax_number": "650-369-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ARENAS",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-559-8301"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.