RIVER FOUNTAINS OF LODI NPI 1265734636

NPI Information

NPI: 1265734636
Provider Name: RIVER FOUNTAINS OF LODI
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
311 W TURNER RD
LODI, CA
ZIP 95240
Phone: (209) 334-3763
Get Directions

RIVER FOUNTAINS OF LODI is an assisted living facility in Lodi, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RIVER FOUNTAINS OF LODI NPI is 1265734636. The provider is registered as an organization entity type.

The provider's business location address is:

311 W TURNER RD
LODI, CA
ZIP 95240-517
Phone: (209) 334-3763
Fax: (209) 334-1173

The provider's authorized official is Mark Cimino .
The authorized official title is Ceo and has the following contact phone number (916) 704-6275.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		397004012	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »