Cosl Sacramento, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COSL SACRAMENTO, LP

Practice address

1922 Morse Ave
Sacramento, CA 95825-2136

Phone

(916) 482-7745

Fax

(916) 482-6245

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By 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

Carl Mittendorff

Title

Ceo

Phone

(713) 780-8100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1578066585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745",
            "fax_number": "916-482-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745",
            "fax_number": "916-482-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSL SACRAMENTO, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "MITTENDORFF",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-780-8100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Joan Corzine, NP
• David Cosca, M.D.
• Joseph R. Coscia, MD
• Mari Lynn Cosentino, M.D.
• Jill K Cosgrave, M.S.
• Stamatiki S. Coss, MD
• Laura Leigh Cossette, CRNP
• Crystal Costa
• Dianna Leah Costa, R.N., F.N.P.
• Katie Lynn Costa, MA, BCBA

• 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 Mar 15, 2018; 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.