NPIMap

Organization Active NPI

Young at Heart Rcfe No. 5

  • Adult Care Home Facility
  • Sacramento, CA
National Provider Identifier
1497158695
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
347004226 Issued in CA
Legal business name
YOUNG AT HEART RCFE NO. 5
Practice address
8039 Caymus Dr
Sacramento, CA 95829-1258
Phone
(916) 689-8882
Fax
(916) 689-8882
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Mrs. Lillian T. Sisayan, R.N., BSN
Title
Ceo, Administrator
Phone
(916) 686-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 347004226 CA Primary

Addresses

Primary practice location

8039 Caymus Dr
Sacramento, CA 95829-1258

Mailing address

9882 Cortino Way
Elk Grove, CA 95757-3049
Phone (916) 686-8822

National Provider Directory

National Provider Directory
Tax ID family
Young at Heart Rcfe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1497158695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9882 CORTINO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573049",
            "telephone_number": "916-686-8822",
            "fax_number": "916-686-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 CAYMUS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291258",
            "telephone_number": "916-689-8882",
            "fax_number": "916-689-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART RCFE NO. 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "SISAYAN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "916-686-8822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., BSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "347004226",
            "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 Oct 1, 2014; 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.