Country Club Manor in Sacramento - Assisted Living Facility
Country Club Manor - NPI 1033259213
Country Club Manor is a Assisted Living Facility in Sacramento, California. Country Club Manor practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Country Club Manor is 1033259213. The last update date is 2020-08-22.
Country Club Manor's current location address is 2100 Butano Dr, Sacramento, California. You can contact this provider via phone number 9164819240 and fax number 9164837134. The mailing address for Country Club Manor is 2100 Butano Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Club Manor |
|---|---|
| Address | 2100 Butano Dr, Sacramento, California |
| Phone Number | 9164819240 |
| Fax Number | 9164837134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXEC. ADMI |
|---|---|
| Authorized Official Name | Drake M Stuart |
| Telephone Number | 9164819240 |
NPI Number Detail
| NPI Number | 1033259213 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2100 Butano Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958250448 |
| Phone Number | 9164819240 |
| Fax Number | 9164837134 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RCF00022F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Country Club Manor by the Centers for Medicare & Medicaid Services?
The Country Club Manor has been issued the NPI (National Provider Identifier) 1033259213, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Country Club Manor is geographically located?
The Country Club Manor is physically situated at the following location: 2100 Butano Dr, Sacramento, CA, 958250448.
What is the Country Club Manor's specialty and taxonomy code?
The Country Club Manor's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
On what date did the Country Club Manor receive the assignment of its 1033259213 from the Centers for Medicare & Medicaid Services?
The Country Club Manor was issued its 1033259213 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date was the information regarding Country Club Manor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Country Club Manor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.