Elders Inn on Webster, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

015600526 Issued in CA

Legal business name

ELDERS INN ON WEBSTER, LP

Practice address

1721 Webster St
Alameda, CA 94501-2135

Phone

(510) 521-9200

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By 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

Lauren Zimmerman Cook, JD

Title

Ceo

Phone

(510) 748-9700

Specialties & licenses 1

Addresses

Other names 1

• Elders Inn Other name

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1619343043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 WEBSTER ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 WEBSTER ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012135",
            "telephone_number": "510-521-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERS INN ON WEBSTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ZIMMERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-748-9700",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "015600526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elders Inn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Alameda, CA
• Providers in Alameda, 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 Aug 20, 2015; 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.