Provider Demographics
NPI:1437312055
Name:KITTY'S
Entity Type:Organization
Organization Name:KITTY'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WIMBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-392-6216
Mailing Address - Street 1:7655 LAURIE WAY
Mailing Address - Street 2:7655 LAURIE WAY
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95832-1514
Mailing Address - Country:US
Mailing Address - Phone:916-470-2177
Mailing Address - Fax:916-392-6216
Practice Address - Street 1:7655 LAURIE WAY
Practice Address - Street 2:7655 LAURIE WAY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95832-1514
Practice Address - Country:US
Practice Address - Phone:916-470-2177
Practice Address - Fax:916-392-6216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN1546853140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric