Organization Active NPI

Kinder Homes LLC

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1457211435
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KINDER HOMES LLC
Practice address
4406 Cornfield Way
Elk Grove, CA 95758-6042
Phone
(855) 384-5529
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Juline Averette
Title
Ceo
Phone
(916) 889-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4406 Cornfield Way
Elk Grove, CA 95758-6042

Mailing address

4406 Cornfield Way
Elk Grove, CA 95758-6042
Phone (855) 384-5529

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1457211435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 CORNFIELD WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586042",
            "telephone_number": "855-384-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 CORNFIELD WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586042",
            "telephone_number": "855-384-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "AVERETTE",
        "authorized_official_first_name": "JULINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-889-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.