Provider Demographics
NPI:1851279426
Name:PADUA CARE HOME
Entity type:Organization
Organization Name:PADUA CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANGELITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PADUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-218-8556
Mailing Address - Street 1:8708 THETFORD CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1734
Mailing Address - Country:US
Mailing Address - Phone:916-218-8556
Mailing Address - Fax:
Practice Address - Street 1:8700 MILO CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1817
Practice Address - Country:US
Practice Address - Phone:916-218-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility