Active NPI
Cali Care Retirement Home II LLC
- Assisted Living Facility
- Fair Oaks, CA
National Provider Identifier
1619784386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CALI CARE RETIREMENT HOME II LLC
- Practice address
- 5125 Chicago Ave
Fair Oaks, CA 95628-5200 - Phone
- (916) 289-4097
- Fax
- (888) 868-9747
- NPI assigned
- Dec 16, 2024
- 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
- Cynthia Mojica
- Title
- Administrator
- Phone
- (916) 289-4097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5125 Chicago Ave
Fair Oaks, CA 95628-5200
Mailing address
5125 Chicago Ave
Fair Oaks, CA 95628-5200
Phone (916) 289-4097
Other names 1
- Cali Care Retirement Home 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.
-
- Physician Assistant
- Sacramento, CA
- NPI 1831906643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1619784386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 CHICAGO AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956285200",
"telephone_number": "916-289-4097",
"fax_number": "888-868-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 CHICAGO AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956285200",
"telephone_number": "916-289-4097",
"fax_number": "888-868-9747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALI CARE RETIREMENT HOME II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "MOJICA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "916-289-4097"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cali Care Retirement Home II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.