Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deer Tail Senior Lving, Inc

Organization Assisted Living Facility · NPI 1013739663

Deer Tail Senior Lving, Inc is an Assisted Living Facility in Modesto, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3620 Dale Rd Ste A
Modesto, CA 95356-0598
Phone: (209) 524-1798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1013739663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Secretary · (949) 540-1249
Other names Vintage Faire Residential
NPI enumeratedOctober 25, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address3620 Dale Rd Ste A, Modesto, CA 95356-0598

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