Provider Demographics
NPI:1780445783
Name:A&C SENIOR CARE LLC
Entity type:Organization
Organization Name:A&C SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-223-5435
Mailing Address - Street 1:7548 ALMONDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-4416
Mailing Address - Country:US
Mailing Address - Phone:916-673-6607
Mailing Address - Fax:916-720-0384
Practice Address - Street 1:7548 ALMONDWOOD AVE
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-4416
Practice Address - Country:US
Practice Address - Phone:916-673-6607
Practice Address - Fax:916-720-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility