Gavana Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GAVANA CORPORATION

Doing business as

Right at Home

Practice address

5842 Lonetree Blvd
Rocklin, CA 95765-3785

Phone

(916) 302-4243

Fax

(916) 302-4730

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Miss Lackhena Murallon, RN, BSN

Title

Director

Phone

(916) 302-4243

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Right at Home Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1619574225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 SOUTHAMPTON ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474241",
            "telephone_number": "209-817-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653785",
            "telephone_number": "916-302-4243",
            "fax_number": "916-302-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVANA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MURALLON",
        "authorized_official_first_name": "LACKHENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-302-4243",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nila@rahsouthplacer.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "5842 Lonetree Blvd",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957653785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Valencia Garcia
• Garfield Beach CVS LLC (CVS Pharmacy #17587)
• Alison Marie Gasbarro
• Hayley Gately
• Gaurang Amin, a Dental Corporation (Rock Creek Dental)
• Michelle Geerts
• Ryan Lee Geller
• Virginia Genato
• Taylorae George
• Jillian C Gerbaud

• In Home Supportive Care Agency in Rocklin, CA
• Providers in Rocklin, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.