Organization Active NPI

Rancho Cordova Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1487847539
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000604 Issued in CA
Legal business name
RANCHO CORDOVA ADULT DAY HEALTH CARE
Practice address
10086 Mills Station Rd
Sacramento, CA 95827-2204
Phone
(916) 369-1113
Fax
(916) 369-1138
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Srbuhi Kragatbashian
Title
Chief Executive Officer
Phone
(916) 369-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000604 CA Primary

Addresses

Primary practice location

10086 Mills Station Rd
Sacramento, CA 95827-2204

Mailing address

10086 Mills Station Rd
Sacramento, CA 95827-2204
Phone (916) 369-1113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1487847539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10086 MILLS STATION RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272204",
            "telephone_number": "916-369-1113",
            "fax_number": "916-369-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10086 MILLS STATION RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272204",
            "telephone_number": "916-369-1113",
            "fax_number": "916-369-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO CORDOVA ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAGATBASHIAN",
        "authorized_official_first_name": "SRBUHI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-369-1113"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 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.