Vintage Estates III Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VINTAGE ESTATES III INC

Doing business as

VIntage Estates of Richmond

Practice address

955 23Rd St
Richmond, CA 94804-1250

Phone

(510) 237-5182

Fax

(510) 237-5152

NPI assigned

Oct 20, 2005

Organization subpart

Yes

Parent organization

SR ADMINISTRATIVE SERVICES INCAs reported in NPPES

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

Authorized official

Name

Mrs. Sally Jane Rapp

Title

Director

Phone

(510) 782-3825

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VIntage Estates of Richmond Doing business as

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1821087966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25919 GADING RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442725",
            "telephone_number": "510-782-3825",
            "fax_number": "510-782-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 23RD ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041250",
            "telephone_number": "510-237-5182",
            "fax_number": "510-237-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE ESTATES III INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SR ADMINISTRATIVE SERVICES INC",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-782-3825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR064721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIntage Estates of Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fiorella Nicolle Via
• Joseph Sigle Vickroy
• Lee Quin Vien, O.D.
• Jessie Villa
• Vanessa Nicole Villamarin, MD
• Eleanor Vohryzek
• Kara Vojak
• Ina Prem Von Wunsch, AMFT
• Duc Jackson Vugia, M.D.
• Namrata Vuppala

• Skilled Nursing Facility in Richmond, CA
• Providers in Richmond, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.