Caremeridian, LLC
Organization Active NPI Skilled Nursing Facility · Elk Grove, CA
NPI 1447397245 · NPPES record last updated Aug 18, 2019
Key facts
- NPI
- 1447397245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 030000442 (CA)
- Legal business name
- CAREMERIDIAN, LLC
- Practice address
- 7601 Jacinto Rd
Elk Grove, CA 95758-9505 - Phone
- (916) 688-3830
- Fax
- (916) 688-3832
- NPI assigned
- Jan 31, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
- Name
- Sean Shea
- Title
- Director of Finance
- Phone
- (617) 688-5251
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- Caremeridian LLC
- Part of
- California Mentor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030000442 | CA | Yes |
Addresses
Primary practice location
7601 Jacinto Rd
Elk Grove, CA 95758-9505
Mailing address
163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 263-6632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCB00007F | Medicaid | CA | |
| 030000442 | Other | CA | STATE DHS LICENSE # |
Other names
- Neurorestorative
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All providers in Elk Grove, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2019. 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.