A Cozy Retirement Home, LLC
Organization Active NPI Assisted Living Facility · Elk Grove, CA
NPI 1083979116 · NPPES record last updated Jul 4, 2012
Key facts
- NPI
- 1083979116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 347004880 (CA)
- Legal business name
- A COZY RETIREMENT HOME, LLC
- Practice address
- 8781 Kelsey Dr
Elk Grove, CA 95624-1872 - Phone
- (916) 502-3008
- Fax
- (916) 405-4212
- NPI assigned
- Jul 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Generosa C Dizon, N/A
- Title
- Manager
- Phone
- (916) 502-3008
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 347004880 | CA | Yes |
Addresses
Primary practice location
8781 Kelsey Dr
Elk Grove, CA 95624-1872
Mailing address
8781 Kelsey Dr
Elk Grove, CA 95624-1872
Phone (916) 502-3008
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.