Provider Demographics
NPI:1780557702
Name:AJHASUN LLC DBA CITRUS PINES SENIOR LIVING
Entity type:Organization
Organization Name:AJHASUN LLC DBA CITRUS PINES SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:JHAMIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:279-529-2045
Mailing Address - Street 1:8300 PATTON AVE
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-0418
Mailing Address - Country:US
Mailing Address - Phone:279-529-2045
Mailing Address - Fax:279-529-2045
Practice Address - Street 1:8300 PATTON AVE
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-0418
Practice Address - Country:US
Practice Address - Phone:279-529-2045
Practice Address - Fax:279-529-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility