SHADED ARBOR LLC
NPI 1003213950
Assisted Living Facility in El Cajon, CA

Q: What is Shaded Arbor LLC's NPI number?

The NPI number for Shaded Arbor LLC is 1003213950. It was assigned to this organization in the NPPES registry on November 20, 2014.

Q: What is Shaded Arbor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Shaded Arbor LLC was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2014

1412 GROVELAND TER, EL CAJON, CA 92021(619) 631-7000(619) 631-7591 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shaded Arbor Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADED ARBOR LLC (NPI 1003213950) is a healthcare organization registered as an assisted living facility in El Cajon, California and active in the NPI registry since November 2014. The organization lists Richard Mutka, Owner, as its authorized official.

NPPES Registry Identity

NPI1003213950

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSHADED ARBOR LLC

Location Address1412 GROVELAND TEREl Cajon, CA 92021-3418

Mailing Address1412 Groveland TerEl Cajon, CA 92021-3418 · (619) 631-7000 · Fax (619) 631-7591

Phone(619) 631-7000

Fax(619) 631-7591

Organization SubpartNo

Authorized OfficialRichard MutkaOwner · (951) 961-7410

Enumeration DateNovember 20, 2014

✔ NPI 1003213950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 374603523

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1412 GROVELAND TER, El Cajon, CA 92021

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EL CAJON ELDER CARE, LLC

Assisted Living Facility

1412 GROVELAND TER
EL CAJON, CA 92021

San Diego County (480) 286-0552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaded Arbor LLC's NPI number?

The NPI number for Shaded Arbor LLC is 1003213950. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Shaded Arbor LLC located?

Shaded Arbor LLC is located at 1412 Groveland Ter, El Cajon, CA 92021. The listed phone number is (619) 631-7000.

What is Shaded Arbor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shaded Arbor LLC was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.