Organization Active NPI

Averette Comfort Residency LLC

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1669334975
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AVERETTE COMFORT RESIDENCY LLC
Practice address
63 Desert Wood CT
Sacramento, CA 95823-6215
Phone
(916) 692-6347
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Rodneysha E Ellington
Title
Ceo
Phone
(916) 692-6347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

63 Desert Wood CT
Sacramento, CA 95823-6215

Mailing address

63 Desert Wood CT
Sacramento, CA 95823-6215
Phone (916) 692-6347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1669334975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DESERT WOOD CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958236215",
            "telephone_number": "916-692-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DESERT WOOD CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958236215",
            "telephone_number": "916-692-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERETTE COMFORT RESIDENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "RODNEYSHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-692-6347"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2025; 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.