Provider Demographics
NPI:1558785212
Name:TAO TAI HOMES, INC
Entity Type:Organization
Organization Name:TAO TAI HOMES, INC
Other - Org Name:SONOMA ACRES CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:818-642-3668
Mailing Address - Street 1:765 DONALD ST
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-4604
Mailing Address - Country:US
Mailing Address - Phone:707-996-2161
Mailing Address - Fax:707-996-5478
Practice Address - Street 1:765 DONALD ST
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-4604
Practice Address - Country:US
Practice Address - Phone:707-996-2161
Practice Address - Fax:707-996-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility