Organization Active NPI

Rancho Residential LLC

  • Assisted Living Facility
  • Rancho Cordova, CA
National Provider Identifier
1518792183
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RANCHO RESIDENTIAL LLC
Practice address
12057 Aleria Cir
Rancho Cordova, CA 95742-6946
Phone
(916) 619-7896
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Tony Hoang
Title
Licensee
Phone
(916) 619-7896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12057 Aleria Cir
Rancho Cordova, CA 95742-6946

Mailing address

12057 Aleria Cir
Rancho Cordova, CA 95742-6946
Phone (916) 619-7896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1518792183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12057 ALERIA CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426946",
            "telephone_number": "916-619-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12057 ALERIA CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426946",
            "telephone_number": "916-619-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "916-619-7896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.