Atlantis Sac Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ATLANTIS SAC OPCO LLC

Doing business as

Legacy Oaks of Sacramento

Practice address

1922 Morse Ave
Sacramento, CA 95825-2136

Phone

(916) 318-0941

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By 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

Melody McFadden

Title

Controller

Phone

(714) 357-3560

Specialties & licenses 1

Addresses

Other names 1

• Legacy Oaks of Sacramento Doing business as

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1710560495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ZACA RD",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923149400",
            "telephone_number": "714-357-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-318-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS SAC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "714-357-3560"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Oaks of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Atkins
• Megan Atkins
• Jeffrey Atkinson, ASW
• Renee Atkinson
• Richard Presley Atkinson, MD
• Courtney Elizabeth Atlas
• Chri'Mya Nyema Atmore
• Atp Partners of California, P.C.
• Naveen Kumar Atray, M.D.
• Surabhi Madhwal Atreja, M.D

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.