MARIAM GBATY SOUMAHORO (NPI# 1952937658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952937658 |
| Entity Type | Individual |
| Full Name | MARIAM GBATY SOUMAHORO |
| Practice Address |
3800 Silver Spur Way Sacramento CA 95841-4411 |
| Practice Telephone | 9169040027 |
| Mailing Telephone | 9169040027 |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
783011 | CA | Nursing Service Providers |
| Y | 310400000X | Assisted Living Facility | 342700506 | CA | Nursing & Custodial Care Facilities |
| Street Address |
3800 SILVER SPUR WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| 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 | 95841 |
Please comment or provide details below to improve the information on MARIAM GBATY SOUMAHORO.
| 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.