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MR. BRANDON LEE ROSE B.S. DEGREE
NPI 1942606108
Assisted Living Facility in Stockton, CA

Active since November 14, 2014
9207 MAMMATH PEAK CIR, STOCKTON, CA 95212(209) 623-7456(209) 594-1872 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brandon Lee Rose B.s. Degree NPPES

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

MR. BRANDON LEE ROSE B.S. DEGREE (NPI 1942606108) is an individual assisted living facility provider in Stockton, California, licensed in California (397002695) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1942606108
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameMR. BRANDON LEE ROSECredential: B.S. DEGREE
Location Address9207 MAMMATH PEAK CIRStockton, CA 95212-3212
Mailing Address9207 Mammath Peak CirStockton, CA 95212-3212 · (209) 623-7456 · Fax (209) 594-1872
Phone(209) 623-7456
Fax(209) 594-1872
Sole ProprietorYes
Enumeration DateNovember 14, 2014
✔ NPI 1942606108 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 · 397002695
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.
9207 MAMMATH PEAK CIR, Stockton, CA 95212
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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 Brandon Rose's NPI number?

The NPI number for Brandon Rose is 1942606108. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Brandon Rose located?

Brandon Rose practices at 9207 Mammath Peak Cir, Stockton, CA 95212. The listed phone number is (209) 623-7456.

What is Brandon Rose'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 Brandon Rose was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.