Provider Demographics
NPI:1932741527
Name:SENTRY LIVING SOLUTIONS
Entity Type:Organization
Organization Name:SENTRY LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CIENFUEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-480-2490
Mailing Address - Street 1:3824 BUELL ST STE A2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2861
Mailing Address - Country:US
Mailing Address - Phone:510-422-3959
Mailing Address - Fax:510-373-1824
Practice Address - Street 1:3824 BUELL ST STE A2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2861
Practice Address - Country:US
Practice Address - Phone:510-422-3959
Practice Address - Fax:510-373-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health