Sungarden Villa Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNGARDEN VILLA INC.

Practice address

8440 Edgecliff CT
Citrus Heights, CA 95610-0842

Phone

(916) 757-7057

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Anamarie Docmanov

Title

Licensee

Phone

(916) 757-7057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1982318481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 EDGECLIFF CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100842",
            "telephone_number": "916-757-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 EDGECLIFF CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100842",
            "telephone_number": "916-757-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGARDEN VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "DOCMANOV",
        "authorized_official_first_name": "ANAMARIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "916-757-7057"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 9, 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.