Individual provider Active NPI

Rachelle P Recinto

  • Assisted Living Facility
  • Freedom, CA
National Provider Identifier
1972376531
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
445202713 Issued in CA
Practice address
99 Airport Blvd Ste B
Freedom, CA 95019-2917
Phone
(831) 319-4190
Fax
(831) 319-4028
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 445202713 CA Primary

Addresses

Primary practice location

99 Airport Blvd Ste B
Freedom, CA 95019-2917

Mailing address

8729 Eagles Roost Rd
Salinas, CA 93907-9214
Phone (831) 421-1317

Other practice location 1

109 Behler Rd
Watsonville, CA 95076-1327
Phone (831) 319-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
445202713CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Rachelle'S Home Inc. Assisted Living Facility CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1972376531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 EAGLES ROOST RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939079214",
            "telephone_number": "831-421-1317",
            "fax_number": "831-319-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AIRPORT BLVD STE B",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950192917",
            "telephone_number": "831-319-4190",
            "fax_number": "831-319-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Behler Rd",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950761327",
            "country_code": "US",
            "telephone_number": "831-319-4465",
            "fax_number": "831-228-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECINTO",
        "first_name": "RACHELLE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "445202713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.