Rc Premier Villa 1
Assisted Living Facility in Citrus Heights, CA. Organization (NPI-2).
NPI number1962220186
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1962220186
- Entity type
- Organization (NPI-2)
- Legal business name
- Rc Premier Villa 1
- Organization subpart
- No
- Enumeration date
- Sep 27, 2024
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Rc Premier Villa 1 (Doing Business As)
Practice location
8134 Robert Creek CtCitrus Heights, CA 95610-0801
Phone 573-717-0687
Mailing address
1514 Syracuse DrRocklin, CA 95765-6256
Phone 573-717-0687
Authorized official
Zadel R Cabrera
Administrator
5737170687
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.
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