DRAGONFLY SENIOR LIVING, INC.
NPI 1831911478
Assisted Living Facility in Lodi, CA

Active since October 25, 2024

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dragonfly Senior Living, Inc. NPPES

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

DRAGONFLY SENIOR LIVING, INC. (NPI 1831911478) is a healthcare organization registered as an assisted living facility in Lodi, California and active in the NPI registry since October 2024. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1831911478
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDRAGONFLY SENIOR LIVING, INC.
Location Address17 LOUIE AVELodi, CA 95240-1283
Mailing Address17 Louie AveLodi, CA 95240-1283
Organization SubpartNo
Authorized OfficialSoon BurnamSecretary · (949) 540-1249
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1831911478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
17 LOUIE AVE, Lodi, CA 95240

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
17 LOUIE AVE
LODI, CA 95240
Assisted Living Facility
17 LOUIE AVE
LODI, CA 95240

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 Dragonfly Senior Living, Inc.'s NPI number?

The NPI number for Dragonfly Senior Living, Inc. is 1831911478. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Dragonfly Senior Living, Inc. located?

Dragonfly Senior Living, Inc. is located at 17 Louie Ave, Lodi, CA 95240. The listed phone number is (209) 369-8282.

What is Dragonfly Senior Living, Inc.'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 Dragonfly Senior Living, Inc. was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.