NPIMap

Organization Active NPI

Golden Berry Inc.

  • Assisted Living Facility
  • Elk Grove, CA
National Provider Identifier
1972991404
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347003563 Issued in CA
Legal business name
GOLDEN BERRY INC.
Practice address
8786 Silverberry Ave
Elk Grove, CA 95624-1226
Phone
(916) 681-3726
Fax
(916) 688-9089
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mr. Fernando Cristobal
Title
President
Phone
(916) 873-2178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347003563 CA Primary

Addresses

Primary practice location

8786 Silverberry Ave
Elk Grove, CA 95624-1226

Mailing address

34881 Herringbone Way
Union City, CA 94587-4686
Phone (510) 487-1975

Other names 1

  • Golden Years Care Home 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Berry Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1972991404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34881 HERRINGBONE WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874686",
            "telephone_number": "510-487-1975",
            "fax_number": "916-688-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8786 SILVERBERRY AVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241226",
            "telephone_number": "916-681-3726",
            "fax_number": "916-688-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BERRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "CRISTOBAL",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-873-2178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Years Care Home 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.