Edison Estates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

347001881 Issued in CA

Legal business name

EDISON ESTATES LLC

Practice address

3741 Edison Ave
Sacramento, CA 95821-2758

Phone

(916) 484-7934

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Mary Jane Apuya

Title

Administrator

Phone

(916) 275-6187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1508264755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 EDISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212758",
            "telephone_number": "916-484-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 EDISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212758",
            "telephone_number": "916-484-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "APUYA",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-275-6187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347001881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Edick, ASW
• Whitney Danielle Edie, RADT1
• Edington Medical Group
• Alfonso Edington
• Rachel Joy Edio
• Kera Marie Edming
• Katharine Edmiston
• Shannon Edmiston, MSW
• Anizza Edmonds-Alcocer
• Markeshia Edmondson

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, 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 Dec 19, 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.