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CAMELLIA ASSISTED LIVING
NPI 1487085510
Assisted Living Facility in Fair Oaks, CA

Active since November 27, 2013
4625 CHICAGO AVE, FAIR OAKS, CA 95628(916) 962-7106(916) 962-7106 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camellia Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMELLIA ASSISTED LIVING (NPI 1487085510) is a healthcare organization registered as an assisted living facility in Fair Oaks, California and active in the NPI registry since November 2013. The organization lists Tisa Cadway, Owner, as its authorized official.

NPPES Registry Identity

NPI1487085510
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCAMELLIA ASSISTED LIVING
Location Address4625 CHICAGO AVEFair Oaks, CA 95628-6034
Mailing Address4625 Chicago AveFair Oaks, CA 95628-6034 · (916) 962-7106 · Fax (916) 962-7106
Phone(916) 962-7106
Fax(916) 962-7106
Organization SubpartNo
Authorized OfficialTisa CadwayOwner · (650) 207-3667
Enumeration DateNovember 27, 2013
✔ NPI 1487085510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 347003786
Definition
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.
4625 CHICAGO AVE, Fair Oaks, CA 95628
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camellia Assisted Living's NPI number?

The NPI number for Camellia Assisted Living is 1487085510. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Camellia Assisted Living located?

Camellia Assisted Living is located at 4625 Chicago Ave, Fair Oaks, CA 95628. The listed phone number is (916) 962-7106.

What is Camellia Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Camellia Assisted Living was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.