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

Elk Vista Residential Home LLC

Organization Assisted Living Facility · NPI 1467269464

Elk Vista Residential Home LLC is an Assisted Living Facility in Elk Grove, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8933 Shady Vista Ct
Elk Grove, CA 95624-2730
Phone: (916) 686-2159
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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 number1467269464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fabiola Nunez — Licensee · (916) 686-2159
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address8933 Shady Vista Ct, Elk Grove, CA 95624-2730

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