Active NPI
7117 Main
Doing business as PLC 7117 Main
- Assisted Living Facility
- Orangevale, CA
National Provider Identifier
1841048808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- 7117 MAIN
- Doing business as
- PLC 7117 Main
- Practice address
- 7117 Main Ave
Orangevale, CA 95662-2813 - Phone
- (707) 430-1608
- NPI assigned
- May 7, 2024
- Last updated
- Dec 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert J Coleman
- Title
- Liscensee
- Phone
- (707) 430-1608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7117 Main Ave
Orangevale, CA 95662-2813
Mailing address
7117 Main Ave # NA
Orangevale, CA 95662-2813
Phone (707) 430-1608
Other names 1
- PLC 7117 Main
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1841048808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 MAIN AVE # NA",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956622813",
"telephone_number": "707-430-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 MAIN AVE",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956622813",
"telephone_number": "707-430-1608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "7117 MAIN",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "LISCENSEE",
"authorized_official_telephone_number": "707-430-1608",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PLC 7117 Main",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.