Organization Active NPI

Shiloh Green Homes LLC

  • Assisted Living Facility
  • Windsor, CA
National Provider Identifier
1548959752
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHILOH GREEN HOMES LLC
Practice address
1182 Vintage Greens Dr
Windsor, CA 95492-6864
Phone
(707) 837-5761
Fax
(707) 687-5063
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Mr. Manuel Ortega Jr.
Title
Licensee/Administrator
Phone
(707) 837-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1182 Vintage Greens Dr
Windsor, CA 95492-6864

Mailing address

1182 Vintage Greens Dr
Windsor, CA 95492-6864
Phone (707) 837-5761

Other names 1

  • SHILOH GREEN MANOR II Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1548959752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 VINTAGE GREENS DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954926864",
            "telephone_number": "707-837-5761",
            "fax_number": "707-687-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 VINTAGE GREENS DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954926864",
            "telephone_number": "707-837-5761",
            "fax_number": "707-687-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH GREEN HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "707-837-5761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHILOH GREEN MANOR II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.