Active NPI
Rachelle P Recinto
- Assisted Living Facility
- Freedom, CA
National Provider Identifier
1972376531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 445202713
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 445202713 | CA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachelle'S Home Inc. | Assisted Living Facility | Current | 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.
-
- Assisted Living Facility
- Freedom, CA
- NPI 1578327193
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.