Gahc4 Sacramento Ca TRS Sub LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GAHC4 SACRAMENTO CA TRS SUB LLC

Practice address

1922 Morse Ave
Sacramento, CA 95825-2136

Phone

(916) 482-7745

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Henry J Vaughn

Title

Reimbursement Analyst

Phone

(240) 882-9712

Specialties & licenses 2

Addresses

Other names 1

• Legacy Oaks of Sacramento Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1992344972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC4 SACRAMENTO CA TRS SUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-882-9712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.meridiansenior.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telephone",
            "address_1": "1922 Morse Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958252136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.meridiansenior.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telephone",
            "address_1": "1922 Morse Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958252136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legacy Oaks of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrolyn Jean Gagliano, CASI
• Johnny Leo Gagliano III
• Katie Gagne
• Carrie A Gagnebin
• Michael E Gagnon
• Renu Gahlaut, MD
• Anabel Gaibay
• Amy Gaidelis, PSYD
• Gain Senior Living LLC
• Carlos Gaines

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, 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 Dec 23, 2019; 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.