Provider Demographics
NPI:1336523034
Name:SEKICOR, INC
Entity Type:Organization
Organization Name:SEKICOR, INC
Other - Org Name:AMERICAN RIVER CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIDENORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-485-2172
Mailing Address - Street 1:3817 MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3820
Mailing Address - Country:US
Mailing Address - Phone:916-485-2172
Mailing Address - Fax:916-484-0263
Practice Address - Street 1:3817 MARCONI AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-3820
Practice Address - Country:US
Practice Address - Phone:916-485-2172
Practice Address - Fax:916-484-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347005168311Z00000X
CA347005109311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA347005168OtherSTATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING
CA347005109OtherSTATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING