Organization Active NPI

Fryes Care Home

  • Assisted Living Facility
  • Eureka, CA
National Provider Identifier
1982815585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FRYES CARE HOME
Practice address
2240 Fern St
Eureka, CA 95503-6200
Phone
(707) 442-6660
Fax
(707) 442-1238
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pyongsil Frye
Title
Owner
Phone
(707) 442-6660

Specialties & licenses 1

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

Addresses

Primary practice location

2240 Fern St
Eureka, CA 95503-6200

Mailing address

2240 Fern St
Eureka, CA 95503-6200
Phone (707) 442-6660

National Provider Directory

National Provider Directory

Locations

2240 Fern St
Eureka, CA 95503
Phone (707) 442-2712

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982815585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 FERN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036200",
            "telephone_number": "707-442-6660",
            "fax_number": "707-442-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 FERN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036200",
            "telephone_number": "707-442-6660",
            "fax_number": "707-442-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYES CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "PYONGSIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-442-6660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.