NPIMap

Organization Active NPI

Wholesome Elderly Care Homes, LLC

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1699542555
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHOLESOME ELDERLY CARE HOMES, LLC
Doing business as
Wholesome Elderly On T
Practice address
5332 T St
Sacramento, CA 95819-4841
Phone
(916) 670-2647
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Mr. Chris Faamausili
Title
Managing-Member
Phone
(916) 670-2647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5332 T St
Sacramento, CA 95819-4841

Mailing address

16930 Oak Tree Ave
Cottonwood, CA 96022-9683
Phone (916) 670-2647

Other names 1

  • Wholesome Elderly On T Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wholesome Elderly Care Homes LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1699542555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 OAK TREE AVE",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229683",
            "telephone_number": "916-670-2647",
            "fax_number": "916-604-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 T ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194841",
            "telephone_number": "916-670-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME ELDERLY CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "FAAMAUSILI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING-MEMBER",
        "authorized_official_telephone_number": "916-670-2647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholesome Elderly On T",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wholesome Elderly On T",
            "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 Dec 3, 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.