Active NPI
Shiloh Green Homes LLC
- Assisted Living Facility
- Windsor, CA
National Provider Identifier
1548959752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Windsor, CA
- NPI 1043909252
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.