Active NPI
Nancy Lee Frye Dba Elgin Home
- Nursing Facility/Intermediate Care Facility
- Paradise, CA
National Provider Identifier
1780805879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- LTC60337G
- Legal business name
- NANCY LEE FRYE DBA ELGIN HOME
- Practice address
- 556 Valley View Dr
Paradise, CA 95969-3033 - Phone
- (530) 876-9646
- Fax
- (530) 876-9647
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy L Frye
- Title
- Administrator
- Phone
- (530) 876-9646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | LTC60337G | CA | Primary |
Addresses
Primary practice location
556 Valley View Dr
Paradise, CA 95969-3033
Mailing address
556 Valley View Dr
Paradise, CA 95969-3033
Phone (530) 876-9646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G458
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ELGIN HOME, THE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Oct 20, 1989
- Last certification
- Nov 20, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 556 Valley View Drive
Paradise, CA 95969
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2082180 | Elgin Home | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1780805879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 VALLEY VIEW DR",
"city": "PARADISE",
"state": "CA",
"postal_code": "959693033",
"telephone_number": "530-876-9646",
"fax_number": "530-876-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 VALLEY VIEW DR",
"city": "PARADISE",
"state": "CA",
"postal_code": "959693033",
"telephone_number": "530-876-9646",
"fax_number": "530-876-9647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY LEE FRYE DBA ELGIN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "FRYE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "530-876-9646",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "LTC60337G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.