Healthcare Provider Details

I. General information

NPI: 1851208110
Provider Name (Legal Business Name): FIRESTONE CARE HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 FIRESTONE WAY
ANTELOPE CA
95843-4629
US

IV. Provider business mailing address

1651 RESPONSE RD STE 350
SACRAMENTO CA
95815-5255
US

V. Phone/Fax

Practice location:
  • Phone: 916-225-2670
  • Fax:
Mailing address:
  • Phone: 916-313-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SYED FAHAD SHAH
Title or Position: PRESIDENT/ADMIN
Credential:
Phone: 916-313-9100