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MARINE RESIDENTIAL CARE HOME
NPI 1194098970
Assisted Living Facility in Elk Grove, CA

Active since February 09, 2012
9649 SEA CLIFF WAY, ELK GROVE, CA 95758(916) 647-3250(916) 359-5182 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marine Residential Care Home NPPES

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

MARINE RESIDENTIAL CARE HOME (NPI 1194098970) is a healthcare organization registered as an assisted living facility in Elk Grove, California and active in the NPI registry since February 2012. The organization lists Juliebeth B Arzadon, Licensee, as its authorized official.

NPPES Registry Identity

NPI1194098970
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMARINE RESIDENTIAL CARE HOME
Location Address9649 SEA CLIFF WAYElk Grove, CA 95758-7131
Mailing Address9649 Sea Cliff WayElk Grove, CA 95758-7131 · (916) 647-3250 · Fax (916) 359-5182
Phone(916) 647-3250
Fax(916) 359-5182
Organization SubpartNo
Authorized OfficialJuliebeth B ArzadonLicensee · (916) 647-3250
Enumeration DateFebruary 9, 2012
✔ NPI 1194098970 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 · 347003529
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.
9649 SEA CLIFF WAY, Elk Grove, CA 95758
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Other Identifiers 1

MedicaidT1020CA

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 Marine Residential Care Home's NPI number?

The NPI number for Marine Residential Care Home is 1194098970. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Marine Residential Care Home located?

Marine Residential Care Home is located at 9649 Sea Cliff Way, Elk Grove, CA 95758. The listed phone number is (916) 647-3250.

What is Marine Residential Care Home'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 Marine Residential Care Home was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.