Organization Active NPI

Kirabo Care Home LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Carmichael, CA
National Provider Identifier
1205730876
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
KIRABO CARE HOME LLC
Practice address
4911 Kenneth Ave
Carmichael, CA 95608-4260
Phone
(916) 470-4060
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Eriam Solome Nnamaliri, NPNPI 1720794654
Title
Owner
Phone
(916) 470-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

4911 Kenneth Ave
Carmichael, CA 95608-4260

Mailing address

4911 Kenneth Ave
Carmichael, CA 95608-4260
Phone (916) 470-4060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1205730876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 KENNETH AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084260",
            "telephone_number": "916-470-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 KENNETH AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084260",
            "telephone_number": "916-470-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRABO CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "NNAMALIRI",
        "authorized_official_first_name": "ERIAM",
        "authorized_official_middle_name": "SOLOME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-470-4060",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.