CG Estepa Care Home 2, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CG ESTEPA CARE HOME 2, INC.

Practice address

12800 Thornberg Way
Rancho Cordova, CA 95742-7812

Phone

(916) 670-0180

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Gemma Caccam Estepa, REGISTERED NURSE

Title

Ceo, Administrator

Phone

(916) 670-0180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G797

Legal name

CG Estepa Care Home 2, INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 6, 2021

Last certification

Feb 25, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

12800 Thornberg Way
Rancho Cordova, CA 95742

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1427692128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11894 ELK VIEW WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428132",
            "telephone_number": "916-670-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 THORNBERG WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427812",
            "telephone_number": "916-670-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG ESTEPA CARE HOME 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "ESTEPA",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "CACCAM",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "916-670-0180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cavileer
• Adrian Cazares
• Stephanie Cecil-Spaulding
• Gary M. Cederlind, DO
• Sasha Lee Cedusky
• Marine Chakhoyan
• Jessica Chao Chang
• Charles B Roland MD Professional Corporation
• Ursline Charles
• Gillian Chase, LCSW

• Nursing Facility/Intermediate Care Facility in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.