7121 Main LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

7121 MAIN LLC

Practice address

7121 Main Ave
Orangevale, CA 95662-2813

Phone

(707) 430-1608

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Colman

Title

Licensee

Phone

(707) 430-1608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1952099863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 MAIN AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956622813",
            "telephone_number": "707-430-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 MAIN AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956622813",
            "telephone_number": "707-430-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7121 MAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "COLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "707-430-1608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.