Provider Demographics
NPI:1780496653
Name:A&C SENIOR CARE NUMBER 2 LLC
Entity type:Organization
Organization Name:A&C SENIOR CARE NUMBER 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA ADINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-305-5786
Mailing Address - Street 1:3319 SCOTLAND DR
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-2224
Mailing Address - Country:US
Mailing Address - Phone:916-664-3356
Mailing Address - Fax:916-720-0384
Practice Address - Street 1:3319 SCOTLAND DR
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-2224
Practice Address - Country:US
Practice Address - Phone:916-664-3356
Practice Address - Fax:916-720-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility