Provider Demographics
NPI:1033508569
Name:MAHAWAR CARE, LLC
Entity Type:Organization
Organization Name:MAHAWAR CARE, LLC
Other - Org Name:SILVER YEARS CARE HOME FOR SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:925-212-7375
Mailing Address - Street 1:993 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3039
Mailing Address - Country:US
Mailing Address - Phone:925-212-7375
Mailing Address - Fax:925-969-1608
Practice Address - Street 1:3550 MOWRY AVE STE 101
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1460
Practice Address - Country:US
Practice Address - Phone:925-212-7375
Practice Address - Fax:925-969-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA079200369311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home