Active NPI
Ciminocare
- Respite Care
- Citrus Heights, CA
National Provider Identifier
1992553739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- CIMINOCARE
- Practice address
- 7920 Alta Sunrise Dr Ste 250
Citrus Heights, CA 95610-7963 - Phone
- (916) 486-9639
- Fax
- (916) 750-5701
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J Cimino Sr.
- Title
- Ceo
- Phone
- (916) 704-6275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
7920 Alta Sunrise Dr Ste 250
Citrus Heights, CA 95610-7963
Mailing address
7920 Alta Sunrise Dr Ste 250
Citrus Heights, CA 95610-7963
Phone (916) 486-9639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | CA | CASE MANAGER/CARE COORDINATOR |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Lodi, CA
- NPI 1265734636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1992553739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 ALTA SUNRISE DR STE 250",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107963",
"telephone_number": "916-486-9639",
"fax_number": "916-750-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 ALTA SUNRISE DR STE 250",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107963",
"telephone_number": "916-486-9639",
"fax_number": "916-750-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIMINOCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "CIMINO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-704-6275",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGER/CARE COORDINATOR",
"identifier": "171M00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.