Active NPI
Indocare LLC
- Assisted Living Facility
- Sacramento, CA
National Provider Identifier
1427755362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- INDOCARE LLC
- Practice address
- 8278 Newfield Cir
Sacramento, CA 95828-4915 - Phone
- (916) 682-5461
- NPI assigned
- Feb 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Lomendehe
- Title
- Ceo
- Phone
- (915) 596-5850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
8278 Newfield Cir
Sacramento, CA 95828-4915
Mailing address
10160 Brenna Way
Elk Grove, CA 95757-5957
Phone (916) 647-3572
Other practice location 1
8604 Banff Vista Dr
Elk Grove, CA 95624-1708
Phone (916) 686-1253
Other practice location 2
130 Manitou St
Sacramento, CA 95838-2522
Phone (916) 567-0759
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Sacramento, CA
- NPI 1598035297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675987200000",
"number": "1427755362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10160 BRENNA WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957575957",
"telephone_number": "916-647-3572",
"fax_number": "313-427-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8278 NEWFIELD CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958284915",
"telephone_number": "916-682-5461"
}
],
"practiceLocations": [
{
"address_1": "8604 Banff Vista Dr",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "956241708",
"country_code": "US",
"telephone_number": "916-686-1253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Manitou St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958382522",
"country_code": "US",
"telephone_number": "916-567-0759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INDOCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A",
"authorized_official_last_name": "LOMENDEHE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "915-596-5850",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.