Active NPI
The Commons at Woodbridge, LLC
- Assisted Living Facility
- Manteca, CA
National Provider Identifier
1497073845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 397004045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2213922 | The Commons on Union Ranch | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.