Provider Demographics
NPI:1013228014
Name:C & J SCIUTTO ENTERPRISE INC.
Entity Type:Organization
Organization Name:C & J SCIUTTO ENTERPRISE INC.
Other - Org Name:TOLTEC LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:SM
Authorized Official - Last Name:SCIUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-964-1007
Mailing Address - Street 1:5461 TOLTEC DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5461 TOLTEC DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1609
Practice Address - Country:US
Practice Address - Phone:805-964-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000529310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility