Organization Active NPI

CF Auburn, LLC

Doing business as Country Villa Auburn Healthcare Center

  • Skilled Nursing Facility
  • Auburn, CA
National Provider Identifier
1871645390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CF AUBURN, LLC
Doing business as
Country Villa Auburn Healthcare Center
Practice address
260 Racetrack St
Auburn, CA 95603-5422
Phone
(530) 885-7051
Fax
(530) 885-7521
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Joel Saltzburg
Title
Cfo, Manager
Phone
(310) 574-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

260 Racetrack St
Auburn, CA 95603-5422

Mailing address

260 Racetrack St
Auburn, CA 95603-5422
Phone (530) 885-7051

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05446HMedicaidCA

Other names 1

  • Country Villa Auburn Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CF Auburn LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

260 Racetrack St
Auburn, CA 95603
Phone (530) 885-7051

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871645390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RACETRACK ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035422",
            "telephone_number": "530-885-7051",
            "fax_number": "530-885-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RACETRACK ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035422",
            "telephone_number": "530-885-7051",
            "fax_number": "530-885-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CF AUBURN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTZBURG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CFO, MANAGER",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05446H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Auburn Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, 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.