NPIMap

Organization Active NPI

Spring Glen Elderly Care Villa

  • Assisted Living Facility
  • Fair Oaks, CA
National Provider Identifier
1801444880
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPRING GLEN ELDERLY CARE VILLA
Practice address
5929 Spring Glen Dr
Fair Oaks, CA 95628-2729
Phone
(916) 844-7582
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Leilani AragonNPI 1457907255
Title
Licensee/ Administrator
Phone
(925) 922-4561

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 NU Primary

Addresses

Primary practice location

5929 Spring Glen Dr
Fair Oaks, CA 95628-2729

Mailing address

5929 Spring Glen Dr
Fair Oaks, CA 95628-2729
Phone (916) 844-7582

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": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1801444880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 SPRING GLEN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282729",
            "telephone_number": "916-844-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 SPRING GLEN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282729",
            "telephone_number": "916-844-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GLEN ELDERLY CARE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "LICENSEE/ ADMINISTRATOR",
        "authorized_official_telephone_number": "925-922-4561"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.