Provider Demographics
NPI:1396610390
Name:PNV SENIOR CARE LLC
Entity type:Organization
Organization Name:PNV SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANJULI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWEES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:916-945-3515
Mailing Address - Street 1:13405 FOLSOM BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4740
Mailing Address - Country:US
Mailing Address - Phone:916-945-3515
Mailing Address - Fax:916-945-3517
Practice Address - Street 1:13405 FOLSOM BLVD STE 700
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4740
Practice Address - Country:US
Practice Address - Phone:916-945-3515
Practice Address - Fax:916-945-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care