Organization Active NPI

The Commons at Woodbridge, LLC

  • Assisted Living Facility
  • Manteca, CA
National Provider Identifier
1497073845
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
397004045 Issued in CA
Legal business name
THE COMMONS AT WOODBRIDGE, LLC
Practice address
2241 N Union Rd
Manteca, CA 95336-8271
Phone
(209) 463-9100
Fax
(209) 463-9101
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Ms. Kathleen Margaret Naber-Jordan
Title
Chief Operations Officer
Phone
(209) 848-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 397004045 CA Primary

Addresses

Primary practice location

2241 N Union Rd
Manteca, CA 95336-8271

Mailing address

2241 N Union Rd
Manteca, CA 95336-8271
Phone (209) 463-9100

Other names 1

  • The Commons at Union Ranch Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2213922The Commons on Union Ranch2241 N. Union Rd, Manteca, CA 95336Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1497073845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 N UNION RD",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953368271",
            "telephone_number": "209-463-9100",
            "fax_number": "209-463-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 N UNION RD",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953368271",
            "telephone_number": "209-463-9100",
            "fax_number": "209-463-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONS AT WOODBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "NABER-JORDAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "209-848-4500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397004045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Commons at Union Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.