CSL - Orangevale, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL - ORANGEVALE, LLC

Doing business as

Blossom Vale Senior Living

Practice address

6125 Hazel Ave
Orangevale, CA 95662-4558

Phone

(916) 988-7901

Fax

(916) 990-9381

NPI assigned

Oct 25, 2019

Last updated

Oct 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

COMPASS SENIOR LIVING, LLCAs reported in NPPES

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

Authorized official

Name

Will Forsyth

Title

Vice President

Phone

(541) 636-3460

Specialties & licenses 1

Addresses

Other names 1

• Blossom Vale Senior Living Doing business as

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1992348544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 10TH AVE STE 104",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013273",
            "telephone_number": "541-636-3460",
            "fax_number": "541-636-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 HAZEL AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624558",
            "telephone_number": "916-988-7901",
            "fax_number": "916-990-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL - ORANGEVALE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS SENIOR LIVING, LLC",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "541-636-3460"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Vale Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Orangevale, CA
• Providers in Orangevale, 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 Oct 25, 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.