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IVYRIDGE ASSISTED LIVING
NPI 1144692724
Assisted Living Facility in Sacramento, CA

Active since October 22, 2015
2030 23 RD STREET, SACRAMENTO, CA 95818(916) 451-1212(916) 451-1295 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About IVYRIDGE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Ivyridge Assisted Living, a provider established in Sacramento, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1144692724 assigned on October 2015. The practitioner's primary taxonomy code is 310400000X with license number 347001903 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Michele E Hardy (Administrator)

NPI
1144692724 Verify this NPI
Provider Name
IVYRIDGE ASSISTED LIVING
Entity Type
Organization
Location Address
2030 23 RD STREET SACRAMENTO, CA 95818
Location Phone
(916) 451-1212
Location Fax
(916) 451-1295
Mailing Address
2030 23 RD STREET SACRAMENTO, CA 95818
Mailing Phone
(916) 451-1212
Mailing Fax
(916) 451-1295
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2015
Last Update Date
10-22-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
347001903
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MICHELE E HARDY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(916) 217-0152

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Frequently Asked Questions

What is IVYRIDGE ASSISTED LIVING's NPI number?

The NPI number assigned to this healthcare provider is 1144692724, enumerated as an "organization" on October 22, 2015.

Where is the provider located?

The provider is located at 2030 23 RD STREET SACRAMENTO, CA 95818 and the phone number is (916) 451-1212.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.