Organization Active NPI

Cali Care Retirement Home II LLC

  • Assisted Living Facility
  • Fair Oaks, CA
National Provider Identifier
1619784386
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Cynthia MojicaNPI 1831906643
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.