The Residences-Fair Oaks

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

347003929 Issued in CA

Legal business name

THE RESIDENCES-FAIR OAKS

Practice address

4804 Chicago Ave
Fair Oaks, CA 95628-5224

Phone

(916) 606-8241

Fax

(916) 863-0668

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Estrellita De Mesa Olea, N/A

Title

Licensee/Administrator

Phone

(916) 606-8241

Specialties & licenses 1

Addresses

Other names 1

• n/a Doing business as

Tax ID family

Jerida Lane Residential Care2 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.

• Jerida Lane Residential Care

  • Physical Disabilities Residential Treatment Facility
  • Fair Oaks, CA
  • NPI 1154585883
  NPD tax ID

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1902051857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 CHICAGO AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285224",
            "telephone_number": "916-606-8241",
            "fax_number": "916-863-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 CHICAGO AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285224",
            "telephone_number": "916-606-8241",
            "fax_number": "916-863-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENCES-FAIR OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "OLEA",
        "authorized_official_first_name": "ESTRELLITA",
        "authorized_official_middle_name": "DE MESA",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-606-8241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "347003929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Tharalson, RD
• The Center for Integration, Inc.
• The Doctors Center Medical Group Inc.
• The Elderly Inn, LLC
• The Parent Cooperative Community
• The Resource Environment for Underprivileged Groups Enterprise, Inc.
• The Therapeutic Collective, a Professional Psychological Corporation
• E Michael Thelen, MD
• Therapeutic Language Clinic. Inc.
• Tracy Thomas, LMFT

• Physical Disabilities Residential Treatment Facility in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.