Curly Anne's Residence 2, Inc Icf/DD-N

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CURLY ANNE'S RESIDENCE 2, INC ICF/DD-N

Practice address

6617 Rio de Onar Way
Elk Grove, CA 95757-3411

Phone

(279) 333-7317

Fax

(279) 333-7317

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By 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

Mrs. Mary Anne De Los Santos, RN

Title

Administrator

Phone

(916) 213-3688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700623626. Details of each certification follow.

• CCN 55G830 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G830

Legal name

Curly Anne's Residence 2, Inc. ICF/DD-N

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 25, 2025

Last certification

Nov 25, 2025

Facility address

6617 Rio De Onar Way
Elk Grove, CA 95757

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1700623626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 RIO DE ONAR WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573411",
            "telephone_number": "279-333-7317",
            "fax_number": "279-333-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 RIO DE ONAR WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573411",
            "telephone_number": "279-333-7317",
            "fax_number": "279-333-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURLY ANNE'S RESIDENCE 2, INC ICF/DD-N",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-213-3688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.