1. Home
  2. Directory
  3. California
  4. Carmichael
  5. Skilled Nursing Facility
  6. NPI Profile

MOUNTAIN MANOR SENIOR RESIDENCE
NPI 1770998080
Skilled Nursing Facility in Carmichael, CA

Active since June 25, 2014
3/5
Overall Rating
6101 FAIR OAKS BLVD, CARMICHAEL, CA 95608(415) 250-2721(916) 488-3132 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mountain Manor Senior Residence NPPES

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

MOUNTAIN MANOR SENIOR RESIDENCE (NPI 1770998080) is a healthcare organization registered as a skilled nursing facility in Carmichael, California and active in the NPI registry since June 2014. The organization lists James Francis Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1770998080
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRANDCARE, INC.
Location Address6101 FAIR OAKS BLVDCarmichael, CA 95608-4818
Mailing Address6101 Fair Oaks BlvdCarmichael, CA 95608-4818 · (415) 250-2721 · Fax (916) 488-3132
Phone(415) 250-2721
Fax(916) 488-3132
Organization SubpartNo
Authorized OfficialJames Francis JordanPresident · (415) 250-2721
Enumeration DateJune 25, 2014
Last NPPES UpdateApril 28, 2016
✔ NPI 1770998080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 030000067
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 347005580 (CA)
6101 FAIR OAKS BLVD, Carmichael, CA 95608
Open in Google Maps ↗

Other Names 1

Doing Business AsMountain Manor Senior Residence

Other Identifiers 1

Medicare OSCAR/certification555889CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0891550

Mountain Manor · Carmichael, CA
Expired · Sep 11, 2026
CLIA Number05D0891550
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorJohn Loftus
Laboratory Phone(916) 488-7211
Laboratory LocationMountain Manor6101 Fair Oaks Blvd, Carmichael, CA 95608
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Mountain Manor Senior Residence (CMS certification number 555889), from CMS Care Compare.

Mountain Manor Senior Residence

Nursing home · Carmichael, CA
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555889
Certified Beds47 beds43 residents per day on average
Medicare & Medicaid Participant SinceSeptember 9, 2014
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
100.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.65 · LPN 1.21 · RN 0.91
4.77 hrs per resident per day
Weekend Nurse Staffing
4 hrs per resident per day
Physical Therapist Staffing
0.28 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
32.8%
Registered Nurse Turnover
10%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
5
Substantiated Complaints
3
Infection-Control Citations
1
Fines
5 totaling $52,035.11
Medicare Payment Denials
0
Total Penalties
5
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANPREET KAUR
Physical Therapy Assistant
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 488-7211
ZOLBOO GEMGUI FNP-C, MSN, RN
Nurse Practitioner (Family)
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 488-7211
CHARITO QUIJANO PHYSICAL THERAPIST
Physical Therapist
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 296-0561
MRS. OLHA FEDORENKO
Physical Therapist
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 488-7211
MISSION PEAK HOLDINGS, LLC.
Skilled Nursing Facility
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 212-0275
GOLDEN YEARS MANAGEMENT
Custodial Care Facility
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 488-7211
LILI DUONG PA-C
Physician Assistant
6101 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Sacramento County (916) 296-0561

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 Grandcare, Inc.'s NPI number?

The NPI number for Grandcare, Inc. is 1770998080. It was assigned to this organization in the NPPES registry on June 25, 2014. The provider is doing business as Mountain Manor Senior Residence.

Where is Grandcare, Inc. located?

Grandcare, Inc. is located at 6101 Fair Oaks Blvd, Carmichael, CA 95608. The listed phone number is (415) 250-2721.

What is Grandcare, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Grandcare, Inc. a Medicare-certified nursing home?

Yes. Mountain Manor Senior Residence is a Medicare-certified nursing home with 47 certified beds.

What quality rating does Grandcare, Inc. have?

CMS rates Mountain Manor Senior Residence 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Grandcare, Inc. was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.