ARYSA, LLC
NPI 1104976794
Intermediate Care Facility, Intellectual Disabilities in Lodi, CA

Q: What is Arysa, LLC's NPI number?

The NPI number for Arysa, LLC is 1104976794. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Gabriel ICF.

Q: What is Arysa, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Arysa, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 January 12, 2007

2155 W. ELM ST., LODI, CA 95242(209) 333-1904(209) 368-2771 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Arysa, Llc NPPES

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

ARYSA, LLC (NPI 1104976794), doing business as Gabriel Icf, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lodi, California and active in the NPI registry since January 2007. The organization lists Luz Marcos, Owner/licensee/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1104976794

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameARYSA, LLC

Location Address2155 W. ELM ST.Lodi, CA 95242

Mailing Address3432 Granite Ct.Stockton, CA 95212 · (209) 598-1186 · Fax (415) 634-1755

Phone(209) 333-1904

Fax(209) 368-2771

Organization SubpartNo

Authorized OfficialLuz MarcosOwner/licensee/ Administrator · (209) 598-1186

Enumeration DateJanuary 12, 2007

Last NPPES UpdateDecember 16, 2025

NPPES CertifiedDecember 16, 2025

✔ NPI 1104976794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · LTC80160F

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2155 W. ELM ST., Lodi, CA 95242

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Other Names 1

Doing Business AsGabriel Icf

Other Identifiers 1

MedicaidLTC80160FCA

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 Arysa, LLC's NPI number?

The NPI number for Arysa, LLC is 1104976794. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Gabriel ICF.

Where is Arysa, LLC located?

Arysa, LLC is located at 2155 W. Elm St., Lodi, CA 95242. The listed phone number is (209) 333-1904.

What is Arysa, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Arysa, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.