Provider Demographics
NPI:1245095934
Name:ADVOCARE FOR SENIORS AND PLACEMENT
Entity type:Organization
Organization Name:ADVOCARE FOR SENIORS AND PLACEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:DIZON
Authorized Official - Last Name:MANTUPAR
Authorized Official - Suffix:
Authorized Official - Credentials:LABORATORY SCIENTIST
Authorized Official - Phone:916-335-2929
Mailing Address - Street 1:9751 BOND RD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9419
Mailing Address - Country:US
Mailing Address - Phone:916-335-2929
Mailing Address - Fax:
Practice Address - Street 1:9751 BOND RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9419
Practice Address - Country:US
Practice Address - Phone:916-335-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management