ELK VISTA RESIDENTIAL HOME LLC
NPI 1467269464
Assisted Living Facility in Elk Grove, CA

Q: What is Elk Vista Residential Home LLC's NPI number?

The NPI number for Elk Vista Residential Home LLC is 1467269464. It was assigned to this organization in the NPPES registry on December 12, 2024.

Q: What is Elk Vista Residential Home LLC's specialty?

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

Active since December 12, 2024

8933 SHADY VISTA CT, ELK GROVE, CA 95624(916) 686-2159 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Elk Vista Residential Home Llc NPPES

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

ELK VISTA RESIDENTIAL HOME LLC (NPI 1467269464) is a healthcare organization registered as an assisted living facility in Elk Grove, California and active in the NPI registry since December 2024. The organization lists Fabiola Nunez, Licensee, as its authorized official.

NPPES Registry Identity

NPI1467269464

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameELK VISTA RESIDENTIAL HOME LLC

Location Address8933 SHADY VISTA CTElk Grove, CA 95624-2730

Mailing Address8933 Shady Vista CtElk Grove, CA 95624-2730 · (916) 686-2159

Phone(916) 686-2159

Organization SubpartNo

Authorized OfficialFabiola NunezLicensee · (916) 686-2159

Enumeration DateDecember 12, 2024

NPPES CertifiedDecember 12, 2024

✔ NPI 1467269464 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.

8933 SHADY VISTA CT, Elk Grove, CA 95624

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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 Elk Vista Residential Home LLC's NPI number?

The NPI number for Elk Vista Residential Home LLC is 1467269464. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Elk Vista Residential Home LLC located?

Elk Vista Residential Home LLC is located at 8933 Shady Vista Ct, Elk Grove, CA 95624. The listed phone number is (916) 686-2159.

What is Elk Vista Residential Home 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 Elk Vista Residential Home LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.