Active NPI
Wholesome Elderly Care Homes, LLC
- Assisted Living Facility
- Citrus Heights, CA
National Provider Identifier
1437936937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- WHOLESOME ELDERLY CARE HOMES, LLC
- Doing business as
- Wholesome Elderly Care Homes
Wholesome Elderly On Mathis - Practice address
- 7131 Mathis CT
Citrus Heights, CA 95610-3933 - Phone
- (279) 529-2265
- NPI assigned
- Sep 11, 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
- Chris Faamausili
- Title
- Managing-Member
- Phone
- (916) 670-2647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7131 Mathis CT
Citrus Heights, CA 95610-3933
Mailing address
16930 Oak Tree Ave
Cottonwood, CA 96022-9683
Phone (916) 670-2647
Other names 2
- Wholesome Elderly Care Homes
- Wholesome Elderly On Mathis
National Provider Directory
National Provider Directory- Tax ID family
- Wholesome Elderly Care Homes LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Sacramento, CA
- NPI 1649140369
-
- Assisted Living Facility
- Sacramento, CA
- NPI 1699542555
-
- Assisted Living Facility
- Citrus Heights, CA
- NPI 1972380475
-
- Assisted Living Facility
- Sacramento, CA
- NPI 1972473692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1437936937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16930 OAK TREE AVE",
"city": "COTTONWOOD",
"state": "CA",
"postal_code": "960229683",
"telephone_number": "916-670-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7131 MATHIS CT",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956103933",
"telephone_number": "279-529-2265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLESOME ELDERLY CARE HOMES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "FAAMAUSILI",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "MANAGING-MEMBER",
"authorized_official_telephone_number": "916-670-2647"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wholesome Elderly Care Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wholesome Elderly Care Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wholesome Elderly On Mathis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.