YOUNG AT HEART RCFE NO. 3 (NPI# 1659774859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659774859 |
| Entity Type | Organization |
| Organization Name | YOUNG AT HEART RCFE NO. 3 |
| Practice Address |
9375 Brownsberg Way Sacramento CA 95829-6066 |
| Mailing Address |
9882 Cortino Way Elk Grove CA 95757-3049 |
| Practice Telephone | 9166813689 |
| Mailing Telephone | 9166868822 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | MISS LILLIAN T. SISAYAN (CEO, ADMINISTRATOR) |
| Authorized Official Telephone | 9166868822 |
| Authorized Official Credential | R.N., BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
347002675 | CA | Nursing & Custodial Care Facilities |
| Street Address |
9375 BROWNSBERG WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95829-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1245701390 | Loan Thi Pham | Respiratory Therapist, Registered | 8179 Sita Ct, Sacramento, CA 95829 | 2018-12-16 |
| 1295092294 | Cindy Ka Dyer | Pharmacist | 8915 Gerber Road, Sacramento, CA 95829 | 2012-04-13 |
| 1235288457 | Janet Louise Gallaway | Social Worker | 9211 Gerber Road, Sacramento, CA 95829 | 2007-01-09 |
| 1265463806 | Kim T Nguyen | Optometrist | 8347 Elk Grove Florin Rd, Suite123, Sacramento, CA 95829 | 2006-07-05 |
| 1932158441 | Baldev Kaur | Registered Nurse | Primary Care U600 Broadway, Sacramento, CA 95829 | 2006-05-10 |
| 1689732406 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9200 Sweet Acacia Way, Sacramento, CA 95829-1130 | 2006-12-05 |
| 1922017334 | Heather Johnson | Marriage & Family Therapist | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2006-08-05 |
| 1841423092 | Tera Tapp | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-09-03 |
| 1396978292 | Tara Silafau | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-08-26 |
| Find all providers in zip 95829 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548751548 | Adrian Berci | Custodial Care Facility | 4107 Levendi Ln, Sacramento, CA 95821-2242 | 2018-05-24 |
| 1700335692 | 77 Assisted Living | Custodial Care Facility | 7730 Lorin Ave, Sacramento, CA 95828-3133 | 2016-10-03 |
| 1497158695 | Young At Heart Rcfe No. 5 | Custodial Care Facility | 8039 Caymus Dr, Sacramento, CA 95829-1258 | 2014-10-01 |
| 1548663743 | Young At Heart Rcfe No. 4 | Custodial Care Facility | 9012 Colombard Way, Sacramento, CA 95829-1209 | 2014-10-01 |
| 1528204476 | Joan Miller Moran | Custodial Care Facility | 8665 Florin Rd, #98, Sacramento, CA 95828-2640 | 2008-12-24 |
| 1376607929 | Kimberly & Beverly's Guest Home | Custodial Care Facility | 10100 Countryside Way, Sacramento, CA 95827-5517 | 2006-12-20 |
| 1457413486 | Daniels Guest Home | Custodial Care Facility | 2950 Wright St, Sacramento, CA 95821-4724 | 2006-12-15 |
| 1679635601 | Scottsdale Guest Home | Custodial Care Facility | 8047 Rockhurst Way, Sacramento, CA 95828-4226 | 2006-12-15 |
| 1033277355 | Ethels Daughter | Custodial Care Facility | 3981 8th Ave, Ethels Daughter, Sacramento, CA 95817 | 2006-12-06 |
| 1679650253 | St. Mary's Home | Custodial Care Facility | 1347 Bell St, Sacramento, CA 95825-2301 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95829 |
Please comment or provide details below to improve the information on YOUNG AT HEART RCFE NO. 3.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.