77 Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

347005362 Issued in CA

Legal business name

77 ASSISTED LIVING

Practice address

7730 Lorin Ave
Sacramento, CA 95828-3133

Phone

(916) 388-8328

Fax

(916) 387-0418

NPI assigned

Oct 3, 2016

Last updated

Mar 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rudi Wu

Title

Administrator

Phone

(916) 388-8328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1700335692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 LORIN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958283133",
            "telephone_number": "916-388-8328",
            "fax_number": "916-387-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 LORIN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958283133",
            "telephone_number": "916-388-8328",
            "fax_number": "916-387-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "77 ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "RUDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-388-8328"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "347005362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.