Fortuna Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FORTUNA ASSISTED LIVING LLC

Doing business as

Sequoia Springs Assisted Living Community

Practice address

2401 Redwood Way
Fortuna, CA 95540-3058

Phone

(707) 726-0111

Fax

(503) 485-1279

NPI assigned

Apr 22, 2007

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 3

Addresses

Other names 1

• Sequoia Springs Assisted Living Community Doing business as

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1497973002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-485-8697",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 REDWOOD WAY",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403058",
            "telephone_number": "707-726-0111",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "126801582",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "126801852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Springs Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Foot Care Specialist Podiatry Center
• Family Foot Care Specialists Podiatry Center Inc
• Neal E Feuerman, MD
• Ana Fernanda Fierro
• Amber Ford
• Fortuna Chiropractic LLC
• Fortuna Elementary School District
• Fortuna Family Medical Group Inc
• Fortuna Family Medicine Inc.
• Fortuna Pharmacy Inc (Green's Fortuna Pharmacy)

• Assisted Living Facility in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.