NPIMap

Organization Active NPI

Elan Senior Living

  • Substance Abuse Rehabilitation Facility
  • Modesto, CA
National Provider Identifier
1477741528
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
500013 CP Issued in CA
Legal business name
ELAN SENIOR LIVING
Doing business as
The Living Center
Practice address
1717 Coffee Rd
Suite a
Modesto, CA 95355-2808
Phone
(209) 577-6945
Fax
(209) 577-5674
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Ms. Nicole Deanne Blanchard
Title
Office Manager
Phone
(209) 892-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 500013 CP CA Primary

Addresses

Primary practice location

1717 Coffee Rd
Suite a
Modesto, CA 95355-2808

Mailing address

1717 Coffee Rd
Suite a
Modesto, CA 95355-2808
Phone (209) 577-6945

Other names 1

  • The Living Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elan Senior Living Dba the Living Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1717 Coffee Rd
Ste A
Modesto, CA 95355
Phone (209) 577-6945

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1477741528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 COFFEE RD",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552808",
            "telephone_number": "209-577-6945",
            "fax_number": "209-577-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 COFFEE RD",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552808",
            "telephone_number": "209-577-6945",
            "fax_number": "209-577-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-892-3487",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "500013 CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.