Provider Demographics
NPI:1407527765
Name:SILVER PINES CARE HOME II, LLC
Entity Type:Organization
Organization Name:SILVER PINES CARE HOME II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOESCH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:916-308-2968
Mailing Address - Street 1:9369 PORTO ROSA DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-2162
Mailing Address - Country:US
Mailing Address - Phone:916-308-2968
Mailing Address - Fax:916-686-0608
Practice Address - Street 1:8717 VALLEY OAK LN
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2522
Practice Address - Country:US
Practice Address - Phone:916-685-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility