KIMBERLY & BEVERLY'S GUEST HOME
NPI 1376607929
Custodial Care Facility - Adult Care Home in Sacramento, CA

Active since December 20, 2006
10100 COUNTRYSIDE WAY, SACRAMENTO, CA 95827(916) 366-3111(916) 638-8880 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly & Beverly's Guest Home NPPES

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

KIMBERLY & BEVERLY'S GUEST HOME (NPI 1376607929) is a healthcare organization registered as an adult care home in Sacramento, California and active in the NPI registry since December 2006. The organization lists Mike G Tampus, Owner, as its authorized official.

NPPES Registry Identity

NPI1376607929
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKIMBERLY & BEVERLY'S GUEST HOME
Location Address10100 COUNTRYSIDE WAYSacramento, CA 95827-5517
Mailing Address2218 Bucks Creek CtGold River, CA 95670-8121 · (916) 631-7969 · Fax (916) 638-8880
Fax(916) 638-8880
Organization SubpartNo
Authorized OfficialMike G TampusOwner · (916) 631-7969
Enumeration DateDecember 20, 2006
Last NPPES UpdateJune 24, 2008
NPI 1376607929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in CA · 340312905
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

10100 COUNTRYSIDE WAY, Sacramento, CA 95827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376607929, enumerated as an "organization" on December 20, 2006.

The provider is located at 10100 COUNTRYSIDE WAY SACRAMENTO, CA 95827 and the phone number is (916) 366-3111.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.