Organization Active NPI

Lincoln Retirement Villa

  • Assisted Living Facility
  • Fremont, CA
National Provider Identifier
1477168656
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LINCOLN RETIREMENT VILLA
Practice address
41040 Lincoln St
Fremont, CA 94538-4316
Phone
(510) 656-4373
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Mrs. Adona S. Nacapuy-Esperanza, RN, NP
Title
Managing Partner
Phone
(707) 334-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

41040 Lincoln St
Fremont, CA 94538-4316

Mailing address

111 Terrazzo LN
American Canyon, CA 94503-3169
Phone (707) 334-0749

National Provider Directory

National Provider Directory

Locations

41040 Lincoln St
Fremont, CA 94538
Phone (510) 656-4373

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1477168656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TERRAZZO LN",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945033169",
            "telephone_number": "707-334-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41040 LINCOLN ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384316",
            "telephone_number": "510-656-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN RETIREMENT VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "NACAPUY-ESPERANZA",
        "authorized_official_first_name": "ADONA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "707-334-0749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.