Organization Active NPI

Comfort Living Elder Care 3

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1669179347
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMFORT LIVING ELDER CARE 3
Practice address
8765 Inisheer Way
Sacramento, CA 95828-6125
Phone
(916) 682-2605
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Mariam Gbaty Soumahoro
Title
Administrator
Phone
(510) 409-7096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8765 Inisheer Way
Sacramento, CA 95828-6125

Mailing address

8765 Inisheer Way
Sacramento, CA 95828-6125

Other names 1

  • Comfort Living Elder Care 3 LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1669179347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 INISHEER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958286125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 INISHEER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958286125",
            "telephone_number": "916-682-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT LIVING ELDER CARE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SOUMAHORO",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "GBATY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-409-7096"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Living Elder Care 3 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.