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

The Elderly Inn, LLC

Organization Custodial Care Facility · NPI 1063957041

The Elderly Inn, LLC is a Custodial Care Facility in Fair Oaks, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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

4824 Livoti Ave
Fair Oaks, CA 95628-5008
Phone: (916) 806-2223
Fax: (916) 967-3099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence 347003747 (CA)
Custodial Care Facility Taxonomy 311Z00000X · Licence 347003754 (CA)
Custodial Care Facility Taxonomy 311Z00000X · Licence 347001289 (CA)
Custodial Care Facility Taxonomy 311Z00000X · Licence 347004184 (CA)

Record details

NPI number1063957041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Toplean — Owner · (916) 806-2223
NPI enumeratedDecember 29, 2016
Last updated in NPPESDecember 29, 2016
Mailing address4831 Livoti Ave, Fair Oaks, CA 95628-5007

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