SCOTTSDALE GUEST HOME (NPI# 1679635601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679635601 |
| Entity Type | Organization |
| Organization Name | SCOTTSDALE GUEST HOME |
| Practice Address |
8047 Rockhurst Way Sacramento CA 95828-4226 |
| Mailing Address |
8047 Rockhurst Way Sacramento CA 95828 |
| Practice Telephone | 9166822305 |
| Practice Fax Number | 9166887745 |
| Mailing Fax Number | 9166887745 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | CORAZON DE ALA EPISCOPE (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 9166822305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
347000357 | CA | Nursing & Custodial Care Facilities |
| Street Address |
8047 ROCKHURST WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95828-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274047 | Valeria Sarmienta | Behavior Technician | 7805 Dalewoods Way, Sacramento, CA 95828 | 2017-09-14 |
| 1336661990 | Araceli Cantiller | Nursing Home Administrator | 8006 Bucks Harbor, Sacramento, CA 95828 | 2017-07-14 |
| 1528515020 | Penelope Mach | Nutritionist | 8233 E. Stockton Blvd, Sacramento, CA 95828 | 2016-09-01 |
| 1902196405 | Imelda Eileen Pahlas Moore | Social Worker | 8325 Boron Way, Sacramento, CA 95828 | 2011-04-18 |
| 1356678015 | Gray Construction Vand Securment Services - Ez Lift Accessibility Prod | Durable Medical Equipment & Medical Supplies | 8136 # A Junipero Street, Sacramento, CA 95828 | 2009-11-17 |
| 1982861431 | Hung Q. Le Dds. Inc | Preferred Provider Organization | 8021 Florin Rd, Sacramento, CA 95828 | 2008-05-21 |
| 1245419910 | Anna Shalnev | Licensed Vocational Nurse | 7016 Forman Way, Sacramento, CA 95828 | 2007-10-30 |
| 1548325004 | Sierra Vista Hospital | Psychiatry & Neurology | 8250 Calvine Rd, Ste C165, Sacramento, CA 95828 | 2006-12-26 |
| 1386709798 | River City Transportation Service | Non-emergency Medical Transport (VAN) | 8155 Derbyshire Circle, Sacramento, CA 95828 | 2006-12-26 |
| 1225059595 | Leslie H. Bess | Social Worker | 8247 E Stockton Blvd, Sacramento, CA 95828 | 2006-07-22 |
| Find all providers in zip 95828 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548751548 | Adrian Berci | Custodial Care Facility | 4107 Levendi Ln, Sacramento, CA 95821-2242 | 2018-05-24 |
| 1700335692 | 77 Assisted Living | Custodial Care Facility | 7730 Lorin Ave, Sacramento, CA 95828-3133 | 2016-10-03 |
| 1497158695 | Young At Heart Rcfe No. 5 | Custodial Care Facility | 8039 Caymus Dr, Sacramento, CA 95829-1258 | 2014-10-01 |
| 1548663743 | Young At Heart Rcfe No. 4 | Custodial Care Facility | 9012 Colombard Way, Sacramento, CA 95829-1209 | 2014-10-01 |
| 1659774859 | Young At Heart Rcfe No. 3 | Custodial Care Facility | 9375 Brownsberg Way, Sacramento, CA 95829-6066 | 2014-10-01 |
| 1528204476 | Joan Miller Moran | Custodial Care Facility | 8665 Florin Rd, #98, Sacramento, CA 95828-2640 | 2008-12-24 |
| 1376607929 | Kimberly & Beverly's Guest Home | Custodial Care Facility | 10100 Countryside Way, Sacramento, CA 95827-5517 | 2006-12-20 |
| 1457413486 | Daniels Guest Home | Custodial Care Facility | 2950 Wright St, Sacramento, CA 95821-4724 | 2006-12-15 |
| 1033277355 | Ethels Daughter | Custodial Care Facility | 3981 8th Ave, Ethels Daughter, Sacramento, CA 95817 | 2006-12-06 |
| 1679650253 | St. Mary's Home | Custodial Care Facility | 1347 Bell St, Sacramento, CA 95825-2301 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95828 |
Please comment or provide details below to improve the information on SCOTTSDALE GUEST HOME.
| 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.