Grv A California Corporation
Assisted Living Facility in West Sacramento, CA. Organization (NPI-2).
NPI number1801547484
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1801547484
- Entity type
- Organization (NPI-2)
- Legal business name
- Grv A California Corporation
- Organization subpart
- No
- Enumeration date
- Jan 14, 2022
- Certification date
- Jan 14, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
509 Michigan BlvdWest Sacramento, CA 95691-2705
Phone 916-713-5110
Mailing address
7405 Greenback Lane336
Citrus Heights, CA 95610
Phone 916-486-9639 · Fax 916-750-5701
Authorized official
Mark J Cimino
Ceo
9167046275
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Assisted Living Facility providers in West Sacramento, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.