Antoninas Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANTONINAS CARE HOME

Practice address

8712 Bray Vista Way
Elk Grove, CA 95624-1714

Phone

(916) 685-0404

Fax

(916) 685-0404

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Rose Chavez Caridad

Title

Owner

Phone

(650) 534-8855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1841095924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9077 FOUR SEASONS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241288",
            "telephone_number": "650-534-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 BRAY VISTA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241714",
            "telephone_number": "916-685-0404",
            "fax_number": "916-685-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONINAS CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "CARIDAD",
        "authorized_official_first_name": "AMY ROSE",
        "authorized_official_middle_name": "CHAVEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-534-8855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.