THE RESIDENCES-FAIR OAKS NPI 1902051857

NPI Information

  • NPI: 1902051857
  • Provider Name: THE RESIDENCES-FAIR OAKS
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Doing Business As: N/A
  • Address: 4804 CHICAGO AVE
    FAIR OAKS, CA
    ZIP 95628
  • Phone: (916) 606-8241

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NPI Details

THE RESIDENCES-FAIR OAKS is a residential treatment facility physical disabilities in Fair Oaks, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. THE RESIDENCES-FAIR OAKS NPI is 1902051857. The provider is registered as an organization entity type.
The provider Is Doing Business As N/a.

The provider's business location address is:

4804 CHICAGO AVE
FAIR OAKS, CA
ZIP 95628-224
Phone: (916) 606-8241
Fax: (916) 863-0668

The provider's authorized official is Estrellita De Mesa Olea .
The authorized official title is Licensee/administrator and has the following contact phone number (916) 606-8241.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.

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
1320700000XResidential Treatment Facility, Physical Disabilities347003929CALIFORNIAYes

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: 11/21/2025

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