MBA CARE HOMES LLC (NPI# 1356749675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356749675 |
| Entity Type | Organization |
| Organization Name | MBA CARE HOMES LLC |
| Other Organization Name | EASTERN MANOR |
| Practice Address |
2629 Eastern Ave Sacramento CA 95821-6636 |
| Practice Telephone | 9169729668 |
| Practice Fax Number | 9164892163 |
| Mailing Telephone | 9169729668 |
| Mailing Fax Number | 9164892163 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | ROMEO APUYA JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 9169729668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 347004960 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| EASTERN MANOR | Other Name - Individual/Organization |
| Street Address |
2629 EASTERN AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845246 | Sheng Zheng | Assisted Living Facility | 4221 Macey Dr, Sacramento, CA 95841-4524 | 2019-01-16 |
| 1639677842 | Love and Serenity LLC | Assisted Living Facility | 57 Farallon Cir, Sacramento, CA 95831-3726 | 2018-01-23 |
| 1548768757 | Love and Serenity Iv LLC | Assisted Living Facility | 7695 River Village Dr, Sacramento, CA 95831-4123 | 2018-01-23 |
| 1366954596 | Mercy Alfonso Guevarra | Assisted Living Facility | 3180 Watt Ave, Sacramento, CA 95821-3614 | 2017-10-27 |
| 1053835876 | Nelu's Home Care | Assisted Living Facility | 4982 Tyler St, Sacramento, CA 95841-3437 | 2017-08-02 |
| 1114463163 | Mother Virginia Loving Care, Inc | Assisted Living Facility | 9847 Lincoln Village Dr, Sacramento, CA 95827-3401 | 2017-01-16 |
| 1144692724 | Ivyridge Assisted Living | Assisted Living Facility | 2030 23 Rd Street, Sacramento, CA 95818 | 2015-10-22 |
| 1518343664 | Glenda Hughes | Assisted Living Facility | 5567 Jerry Litell Way, Sacramento, CA 95835-1717 | 2015-07-30 |
| 1235529470 | Love and Serenity Home Care | Assisted Living Facility | 5942 Park Village St, Sacramento, CA 95822-3463 | 2015-01-26 |
| 1508264755 | Edison Estates LLC | Assisted Living Facility | 3741 Edison Ave, Sacramento, CA 95821-2758 | 2014-12-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.