NPIMap

Organization Active NPI

Mulbrry Place Assisted Living IV

  • Assisted Living Facility
  • Tehachapi, CA
National Provider Identifier
1619354354
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
157202475 Issued in CA
Legal business name
MULBRRY PLACE ASSISTED LIVING IV
Practice address
910 Mulberry St
Tehachapi, CA 93561-2254
Phone
(661) 822-8077
Fax
(661) 822-4727
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Tiffini R Hughes
Title
Ceo
Phone
(661) 822-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 157202475 CA Primary

Addresses

Primary practice location

910 Mulberry St
Tehachapi, CA 93561-2254

Mailing address

910 Mulberry St
Tehachapi, CA 93561-2254
Phone (661) 822-8077

National Provider Directory

National Provider Directory
Tax ID family
Mulberry Place Assisted Living5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1619354354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MULBERRY ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612254",
            "telephone_number": "661-822-8077",
            "fax_number": "661-822-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MULBERRY ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612254",
            "telephone_number": "661-822-8077",
            "fax_number": "661-822-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBRRY PLACE ASSISTED LIVING IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "TIFFINI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-822-8077"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "157202475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.