Active NPI
Eskaton Properties, Incorporated
Doing business as Eskaton Care Center Fair Oaks
- Skilled Nursing Facility
- Fair Oaks, CA
National Provider Identifier
1841296282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030000190
- Legal business name
- ESKATON PROPERTIES, INCORPORATED
- Doing business as
- Eskaton Care Center Fair Oaks
- Practice address
- 11300 Fair Oaks Blvd
Fair Oaks, CA 95628-5141 - Phone
- (916) 965-4663
- Fax
- (916) 961-4347
- NPI assigned
- Jun 21, 2005
- Last updated
- Dec 30, 2021
- 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. Todd S Murch, STANFORD CERTIFICATE
- Title
- President & Ceo
- Phone
- (916) 334-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030000190 | CA | Primary |
Addresses
Primary practice location
11300 Fair Oaks Blvd
Fair Oaks, CA 95628-5141
Mailing address
5105 Manzanita Ave
Carmichael, CA 95608-0523
Phone (916) 334-0810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55153I | Medicaid | CA |
Other names 1
- Eskaton Care Center Fair Oaks
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0887117 | Eskaton Care Center-Fair Oaks | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Eskaton Village Care Center
- Skilled Nursing Facility
- Carmichael, CA
- NPI 1780680025
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640822400000",
"number": "1841296282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 MANZANITA AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080523",
"telephone_number": "916-334-0810",
"fax_number": "916-338-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 FAIR OAKS BLVD",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956285141",
"telephone_number": "916-965-4663",
"fax_number": "916-961-4347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESKATON PROPERTIES, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A",
"authorized_official_last_name": "MURCH",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "916-334-0810",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "STANFORD CERTIFICATE"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "030000190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55153I",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eskaton Care Center Fair Oaks",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eskaton Care Center Fair Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.