Organization Active NPI

Sycamore Residential Care Center B LLC

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1093605883
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SYCAMORE RESIDENTIAL CARE CENTER B LLC
Practice address
4545 Sycamore Ave # B
Sacramento, CA 95841-4509
Phone
(916) 595-9991
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nader NassarNPI 1841990835
Title
Administrator
Phone
(916) 595-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4545 Sycamore Ave # B
Sacramento, CA 95841-4509

Mailing address

4545 Sycamore Ave # B
Sacramento, CA 95841-4509
Phone (916) 595-9991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1093605883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 SYCAMORE AVE # B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414509",
            "telephone_number": "916-595-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SYCAMORE AVE # B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414509",
            "telephone_number": "916-595-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE RESIDENTIAL CARE CENTER B LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-595-9991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.