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CITRUS CREST CARE HOME1
NPI 1083311757
Assisted Living Facility in Citrus Heights, CA

Active since February 13, 2023
6906 HENNING DR, CITRUS HEIGHTS, CA 95621(916) 728-1338 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Citrus Crest Care Home1 NPPES

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

CITRUS CREST CARE HOME1 (NPI 1083311757), doing business as Citrus Crest Care Home 1 Llc, is a healthcare organization registered as an assisted living facility in Citrus Heights, California and active in the NPI registry since February 2023. The organization lists Mariam Gbaty Soumahoro, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083311757
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCITRUS CREST CARE HOME1
Location Address6906 HENNING DRCitrus Heights, CA 95621-2840
Mailing Address6906 Henning DrCitrus Heights, CA 95621-2840 · (916) 728-1338
Phone(916) 728-1338
Organization SubpartNo
Authorized OfficialMariam Gbaty SoumahoroCeo · (510) 409-7096
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1083311757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
6906 HENNING DR, Citrus Heights, CA 95621
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Other Names 1

Former Legal Business NameCitrus Crest Care Home 1 Llc

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 Citrus Crest Care Home1's NPI number?

The NPI number for Citrus Crest Care Home1 is 1083311757. It was assigned to this organization in the NPPES registry on February 13, 2023. The provider was formerly known as Citrus Crest Care Home 1 LLC.

Where is Citrus Crest Care Home1 located?

Citrus Crest Care Home1 is located at 6906 Henning Dr, Citrus Heights, CA 95621. The listed phone number is (916) 728-1338.

What is Citrus Crest Care Home1'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 Citrus Crest Care Home1 was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.