Organization Active NPI

Baseline Enterprise LLC

  • Assisted Living Facility
  • Citrus Heights, CA
National Provider Identifier
1891469979
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BASELINE ENTERPRISE LLC
Practice address
7131 Mathis CT
Citrus Heights, CA 95610-3933
Phone
(916) 745-4528
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Uwem EkanemNPI 1386304426
Title
Manager
Phone
(650) 248-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7131 Mathis CT
Citrus Heights, CA 95610-3933

Mailing address

1840 Kern Mountain Way
Antioch, CA 94531-7498
Phone (925) 238-0311

Other practice location 1

1840 Kern Mountain Way
Antioch, CA 94531-7498
Phone (650) 248-1108

Other names 2

  • Elizabeth Care Homes 2 Doing business as
  • Elizabeth Care Homes IV Doing business as

National Provider Directory

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1891469979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 KERN MOUNTAIN WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317498",
            "telephone_number": "925-238-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 MATHIS CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103933",
            "telephone_number": "916-745-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Kern Mountain Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945317498",
            "country_code": "US",
            "telephone_number": "650-248-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BASELINE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "EKANEM",
        "authorized_official_first_name": "UWEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-248-1108"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Care Homes 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabeth Care Homes 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabeth Care Homes IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.