Ebony & Cecilia Residential Care Facility LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EBONY & CECILIA RESIDENTIAL CARE FACILITY LLC

Practice address

1660 Chateau LN,
Manteca, CA 95337

Phone

(916) 346-9838

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Ebony C Aliriagwu

Title

Administrator

Phone

(916) 346-9838

Specialties & licenses 1

Addresses

Other names 1

• Ebony & Cecilia Residential Care Facility LLC Doing business as

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1710707286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHATEAU LN,",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "916-346-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 CHATEAU LN,",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "916-346-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY & CECILIA RESIDENTIAL CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "ALIRIAGWU",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-346-9838"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebony & Cecilia Residential Care Facility LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trang Thuy Duong, DDS, MS
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• Andrew Joseph Easton
• Eastwood Care Inc
• Lyric E Eaton
• Mohammad El Farra
• Foad Elahi, MD
• Eslam Elhossieny, M.B.B.CH.
• Shereef Elkhatib, DDS
• Angelina Louise Ellsworth

• Health Service Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.