Organization Active NPI

Asian Community Center of Sacramento Valley Inc

Doing business as Asian Community Nursing Home

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1487641452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC
Doing business as
Asian Community Nursing Home
Practice address
7801 Rush River Dr
Sacramento, CA 95831-4602
Phone
(916) 393-9020
Fax
(916) 393-9025
NPI assigned
Oct 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Darren Trisel
Title
Administrator
Phone
(916) 393-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

7801 Rush River Dr
Sacramento, CA 95831-4602

Mailing address

7801 Rush River Dr
Sacramento, CA 95831-4602
Phone (916) 393-9020

Other identifiers 1

IdentifierTypeStateIssuer
LTC55261FMedicaidCA

Other names 1

  • ASIAN COMMUNITY NURSING HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asian Community Center of Sacramento Valley Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487641452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 RUSH RIVER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314602",
            "telephone_number": "916-393-9020",
            "fax_number": "916-393-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 RUSH RIVER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314602",
            "telephone_number": "916-393-9020",
            "fax_number": "916-393-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRISEL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-393-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55261F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASIAN COMMUNITY NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.