Organization Active NPI

Foothill Oaks Care Center, Inc.

  • Skilled Nursing Facility
  • Auburn, CA
National Provider Identifier
1790784015
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000258 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC55219FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Aloe Holdings LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.