Organization Active NPI

Noria's Senior Care

  • In Home Supportive Care Agency
  • Fairfield, CA
National Provider Identifier
1609456672
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORIA'S SENIOR CARE
Practice address
1400 Clay St
Fairfield, CA 94533-5120
Phone
(707) 880-0258
NPI assigned
Apr 13, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dana Carlson
Title
Co-Owner
Phone
(707) 880-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1400 Clay St
Fairfield, CA 94533-5120

Mailing address

2401 Waterman Blvd A4
168
Fairfield, CA 94534
Phone (707) 880-0258

National Provider Directory

National Provider Directory

Locations

2401 Waterman Blvd
#A4168
Fairfield, CA 94534

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1609456672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WATERMAN BLVD A4",
            "address_2": "168",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-880-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CLAY ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335120",
            "telephone_number": "707-880-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORIA'S SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "707-880-0258"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.