Granny's Cottage

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANNY'S COTTAGE

Practice address

7717 Deanton CT
Citrus Heights, CA 95610-2131

Phone

(916) 606-9670

Fax

(916) 729-9319

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adalberth Sabinel Bancu

Title

Administrator

Phone

(916) 606-9670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1568179091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 DEANTON CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102131",
            "telephone_number": "916-606-9670",
            "fax_number": "916-729-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 DEANTON CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102131",
            "telephone_number": "916-606-9670",
            "fax_number": "916-729-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNY'S COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "BANCU",
        "authorized_official_first_name": "ADALBERTH",
        "authorized_official_middle_name": "SABINEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-606-9670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Gorbet
• Jack G Gorman, DDS
• Sonya Gotts
• Maan Kathryn Laquindanum Gozun, MD
• Amy Karina Granados
• Peyton Ann Graves
• Breanna Gray
• Dejaun Gray
• Isaac Gray
• Morgan Gray

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.