Organization Active NPI

Shield Care Home

  • Assisted Living Facility
  • Manteca, CA
National Provider Identifier
1215877667
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHIELD CARE HOME
Practice address
1923 Trulyn Ave
Manteca, CA 95337-8131
Phone
(408) 821-5552
NPI assigned
Mar 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Sharon Drequito
Title
Administrator
Phone
(408) 821-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1923 Trulyn Ave
Manteca, CA 95337-8131

Mailing address

1923 Trulyn Ave
Manteca, CA 95337-8131
Phone (408) 821-5552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1215877667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 TRULYN AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378131",
            "telephone_number": "408-821-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 TRULYN AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378131",
            "telephone_number": "408-821-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "DREQUITO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-821-5552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.