Organization Active NPI

Savanna Assisted Living II

  • Assisted Living Facility
  • Bakersfield, CA
National Provider Identifier
1801619325
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAVANNA ASSISTED LIVING II
Doing business as
Savanna Assisted Living II
Practice address
4104 Rio Viejo Dr
Bakersfield, CA 93313-5021
Phone
(661) 556-4752
Fax
(661) 412-4446
NPI assigned
Nov 4, 2024
Organization subpart
Yes
Parent organization
SAVANNA ASSISTED LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Sarah Adhiambo Mazibuko
Title
Administrator
Phone
(913) 742-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4104 Rio Viejo Dr
Bakersfield, CA 93313-5021

Mailing address

16616 Millwood Way
Bakersfield, CA 93314-8221
Phone (661) 556-4752

Other names 1

  • SAVANNA ASSISTED LIVING II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Savanna Assisted Living LLC2 organizations share this tax ID, including this one
Part of
Savanna Assisted Living LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1801619325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16616 MILLWOOD WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148221",
            "telephone_number": "661-556-4752",
            "fax_number": "661-412-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 RIO VIEJO DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135021",
            "telephone_number": "661-556-4752",
            "fax_number": "661-412-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNA ASSISTED LIVING II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAVANNA ASSISTED LIVING LLC",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MAZIBUKO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ADHIAMBO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-742-3141"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVANNA ASSISTED LIVING II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.