Organization Active NPI

Cali Care Retirement Home LLC

Doing business as Cali Care Retirement Home

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1720895493
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CALI CARE RETIREMENT HOME LLC
Doing business as
Cali Care Retirement Home
Practice address
3630 West Way
Sacramento, CA 95821-2704
Phone
(916) 664-3023
Fax
(888) 868-9747
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Cynthia MojicaNPI 1831906643
Title
Administrator
Phone
(916) 289-4097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3630 West Way
Sacramento, CA 95821-2704

Mailing address

3630 West Way
Sacramento, CA 95821-2704
Phone (916) 664-3023

Other names 1

  • Cali Care Retirement Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1720895493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WEST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212704",
            "telephone_number": "916-664-3023",
            "fax_number": "888-868-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WEST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212704",
            "telephone_number": "916-664-3023",
            "fax_number": "888-868-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALI CARE RETIREMENT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-289-4097"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cali Care Retirement Home",
            "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 16, 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.