Organization Active NPI

Clara Senior Living Inc

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1689024077
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347005570 Issued in CA
Legal business name
CLARA SENIOR LIVING INC
Doing business as
Clara Care Home
Practice address
4665 Freeway Cir
Sacramento, CA 95841-3522
Phone
(530) 771-7715
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Jae Yoel Kim
Title
Ceo/Administrator
Phone
(530) 771-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347005570 CA Primary

Addresses

Primary practice location

4665 Freeway Cir
Sacramento, CA 95841-3522

Mailing address

1130 Menlo Dr
Davis, CA 95616-2170

Other names 1

  • Clara Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1689024077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MENLO DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 FREEWAY CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413522",
            "telephone_number": "530-771-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE YOEL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "530-771-7715"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347005570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2016; 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.