NPIMap

Organization Active NPI

Fountains Carlotta SL, LP

Doing business as The Fountains at the Carlotta

  • Skilled Nursing Facility
  • Palm Desert, CA
National Provider Identifier
1497708820
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000099 Issued in CA
Legal business name
FOUNTAINS CARLOTTA SL, LP
Doing business as
The Fountains at the Carlotta
Practice address
41505 Carlotta Dr
Palm Desert, CA 92211-3279
Phone
(760) 346-5420
Fax
(760) 341-7768
NPI assigned
May 18, 2006
Last updated
Aug 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Greta Fruhling Frazier
Title
Director
Phone
(520) 797-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000099 CA Primary

Addresses

Primary practice location

41505 Carlotta Dr
Palm Desert, CA 92211-3279

Mailing address

2020 W Rudasill Rd
Attn: Medicare Billing
Tucson, AZ 85704-7800
Phone (520) 797-4000

Other identifiers 2

IdentifierTypeStateIssuer
LTC55226FMedicaidCA
075441OtherOSCAR

Other names 1

  • THE FOUNTAINS AT THE CARLOTTA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fountains Carlotta SL LP2 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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1497708820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41505 CARLOTTA DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113279",
            "telephone_number": "760-346-5420",
            "fax_number": "760-341-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS CARLOTTA SL, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "FRUHLING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55226F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "075441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FOUNTAINS AT THE CARLOTTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.