Provider Demographics
NPI:1164286217
Name:WELCOME HOME SENIOR RESIDENCE FAIR OAKS, LLC
Entity Type:Organization
Organization Name:WELCOME HOME SENIOR RESIDENCE FAIR OAKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:341-999-3911
Mailing Address - Street 1:1780 PEACH PL
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3155
Mailing Address - Country:US
Mailing Address - Phone:925-849-6427
Mailing Address - Fax:925-849-6527
Practice Address - Street 1:1780 PEACH PL
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3155
Practice Address - Country:US
Practice Address - Phone:925-849-6427
Practice Address - Fax:925-849-6527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)