CG ESTEPA CARE HOME 2, INC. (NPI# 1427692128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427692128 |
| Entity Type | Organization |
| Organization Name | CG ESTEPA CARE HOME 2, INC. |
| Practice Address |
12800 Thornberg Way Rancho Cordova CA 95742-7812 |
| Mailing Address |
11894 Elk View Way Rancho Cordova CA 95742-8132 |
| Practice Telephone | 9166700180 |
| Mailing Telephone | 9166700180 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | MRS. GEMMA CACCAM ESTEPA (CEO, ADMINISTRATOR) |
| Authorized Official Telephone | 9166700180 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
12800 THORNBERG WAY |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95742-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629597265 | Christopher Michael Colbert Sr. | Counselor | 2025 Aerojet, Rancho Cordova, CA 95742 | 2017-09-14 |
| 1588185516 | Bautista Dental Corporation | Dentist | 4022 Sunrise Blvd,., Ste 160, Rancho Cordova, CA 95742 | 2017-06-29 |
| 1770011561 | Fatmeh A Jobay | Nurse Practitioner | 4040 Sunrise Blvd Ste 130, Rancho Cordova, CA 95742 | 2017-05-24 |
| 1881966273 | Trevor Nabholz | Chiropractor | 2708 Mercantile Dr., Rancho Cordova, CA 95742 | 2012-02-01 |
| 1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
| 1356538920 | Shannon Fistner | Counselor | 2025 Aerojet Rd, Rancho Cordova, CA 95742 | 2007-09-27 |
| 1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
| 1235249830 | Costco Wholesale Corporation | Pharmacy | 11260 White Rock Rd, Rancho Cordova, CA 95742 | 2006-08-30 |
| 1255617882 | Ani M Verrios | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-27 |
| 1124302088 | Daniela Sam | Pharmacist | 4050 Sunrise Blvd, Rancho Cordova, CA 95742 | 2011-10-10 |
| Find all providers in zip 95742 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472707 | Hollywood Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 13307 Stagg St, North Hollywood, CA 91605-1736 | 2020-06-22 |
| 1154944510 | Encourage Homes Inc. | Nursing Facility/Intermediate Care Facility | 9227 Cayuga Ave, Sun Valley, CA 91352-9135 | 2020-05-20 |
| 1831722255 | Laurel House Icf | Nursing Facility/Intermediate Care Facility | 226 N Laurel Ave, Upland, CA 91786-5936 | 2020-02-13 |
| 1588295224 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 19640 Bermuda St, Chatsworth, CA 91311-1908 | 2020-01-31 |
| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95742 |
Please comment or provide details below to improve the information on CG ESTEPA CARE HOME 2, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.