Provider Demographics
NPI:1205633922
Name:SONGBIRD CARE HOMES LLC
Entity type:Organization
Organization Name:SONGBIRD CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:B
Authorized Official - Last Name:MAZERIK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:408-409-0589
Mailing Address - Street 1:15961 TORO HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1140
Mailing Address - Country:US
Mailing Address - Phone:831-375-0665
Mailing Address - Fax:831-375-1624
Practice Address - Street 1:966 CARMELO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4504
Practice Address - Country:US
Practice Address - Phone:831-375-0665
Practice Address - Fax:831-375-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility