Active NPI
Foothill Oaks Care Center, Inc.
- Skilled Nursing Facility
- Auburn, CA
National Provider Identifier
1790784015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030000258
- Legal business name
- FOOTHILL OAKS CARE CENTER, INC.
- Practice address
- 3400 Bell Rd
Auburn, CA 95603-9241 - Phone
- (530) 888-6257
- Fax
- (530) 888-7298
- NPI assigned
- Jul 19, 2005
- Organization subpart
- Yes
- Parent organization
- HORIZON WEST HEALTHCARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry E. Bear
- Title
- Chief Executive Officer
- Phone
- (916) 624-6230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030000258 | CA | Primary |
Addresses
Primary practice location
3400 Bell Rd
Auburn, CA 95603-9241
Mailing address
4020 Sierra College Blvd
Suite #190
Rocklin, CA 95677-3906
Phone (916) 624-6230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55219F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Aloe Holdings LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Auburn, CA
- NPI 1700184991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1790784015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 SIERRA COLLEGE BLVD",
"address_2": "SUITE #190",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773906",
"telephone_number": "916-624-6230",
"fax_number": "916-624-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BELL RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039241",
"telephone_number": "530-888-6257",
"fax_number": "530-888-7298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILL OAKS CARE CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE, INC.",
"enumeration_date": "2005-07-19",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "BEAR",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "916-624-6230"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "030000258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55219F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.