Active NPI
Safe and Secure Senior Care, LLC
- Home Health Agency
- Roseville, CA
National Provider Identifier
1336674563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 314700017
- Legal business name
- SAFE AND SECURE SENIOR CARE, LLC
- Practice address
- 3017 Douglas Blvd
300
Roseville, CA 95661-3848 - Phone
- (916) 771-2497
- NPI assigned
- Apr 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bennette Bunn
- Title
- Owner
- Phone
- (916) 771-2497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 314700017 | CA | Primary |
Addresses
Primary practice location
3017 Douglas Blvd
300
Roseville, CA 95661-3848
Mailing address
3017 Douglas Blvd
300
Roseville, CA 95661-3848
Phone (916) 771-2497
National Provider Directory
National Provider DirectoryLocations
3017 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (916) 774-7120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1336674563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 DOUGLAS BLVD",
"address_2": "300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613848",
"telephone_number": "916-771-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 DOUGLAS BLVD",
"address_2": "300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613848",
"telephone_number": "916-771-2497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE AND SECURE SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "BUNN",
"authorized_official_first_name": "BENNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-771-2497"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "314700017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.