Senior Legacy Health Care Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR LEGACY HEALTH CARE SERVICES

Practice address

2752 Mohawk Cir
San Ramon, CA 94583-2451

Phone

(925) 895-2569

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Roche Castro, RN

Title

President

Phone

(925) 719-9351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1871365502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CENTENNIAL WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 MOHAWK CIR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832451",
            "telephone_number": "925-895-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LEGACY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ROCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-719-9351",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryna Seifi
• Meagan Sellers
• Theresa Annette Selover
• Aaron Tabieros Semana, FNP/DNP
• Amanda Christine Sendaydiego, BCBA
• Susaritha Senthil Venkatesh
• Hee Song Seo, DDS
• Serene Health
• Sobhy Sergious
• Guadalupe Serna

• Assisted Living Facility in San Ramon, CA
• Providers in San Ramon, 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 Oct 25, 2023; 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.