Organization Active NPI

Love and Serenity of Elk Grove LLC

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1700384914
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LOVE AND SERENITY OF ELK GROVE LLC
Practice address
9279 Orange Crest CT
Elk Grove, CA 95624-2820
Phone
(916) 821-4423
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mark Labella
Title
Member
Phone
(916) 821-4423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9279 Orange Crest CT
Elk Grove, CA 95624-2820

Mailing address

9279 Orange Crest CT
Elk Grove, CA 95624-2820
Phone (916) 821-4423

Other practice location 1

8901 Sonoma Valley Way
Sacramento, CA 95829-1404
Phone (916) 821-4423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1700384914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 ORANGE CREST CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242820",
            "telephone_number": "916-821-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 ORANGE CREST CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242820",
            "telephone_number": "916-821-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Sonoma Valley Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958291404",
            "country_code": "US",
            "telephone_number": "916-821-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVE AND SERENITY OF ELK GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LABELLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-821-4423"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.