NPIMap

Organization Active NPI

Dorothy Faye Alexander

  • Intellectual Disabilities Intermediate Care Facility
  • Marysville, CA
National Provider Identifier
1871635888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DOROTHY FAYE ALEXANDER
Doing business as
GRANNY'S HOUSE - Magnolia Rd
Practice address
632 Magnolia Rd
Marysville, CA 95901-3008
Phone
(530) 589-0536
Fax
(530) 589-1602
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorothy Faye Alexander
Title
Owner Licensee
Phone
(530) 589-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

632 Magnolia Rd
Marysville, CA 95901-3008

Mailing address

350 Plumas Dr
Oroville, CA 95966-9241
Phone (530) 589-0536

Other identifiers 1

IdentifierTypeStateIssuer
LTC60994FOtherCACA MEDI CAL VENDOR #

Other names 1

  • GRANNY'S HOUSE - Magnolia Rd Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dorothy Faye Alexander3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871635888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PLUMAS DR",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959669241",
            "telephone_number": "530-589-0536",
            "fax_number": "530-589-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MAGNOLIA RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959013008",
            "telephone_number": "530-589-0536",
            "fax_number": "530-589-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY FAYE ALEXANDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER  LICENSEE",
        "authorized_official_telephone_number": "530-589-0536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDI CAL VENDOR #",
            "identifier": "LTC60994F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANNY'S HOUSE - Magnolia Rd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.