Healthcare Provider Details

I. General information

NPI: 1003725904
Provider Name (Legal Business Name): ANRAM CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 DAPHNE CT
ANTIOCH CA
94509-5614
US

IV. Provider business mailing address

116 DAPHNE CT
ANTIOCH CA
94509-5614
US

V. Phone/Fax

Practice location:
  • Phone: 510-205-4216
  • Fax: 925-978-4254
Mailing address:
  • Phone: 510-205-4216
  • Fax: 925-978-4254

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: MS. ANGIE MANALANG RAMANDANES
Title or Position: ADMINISTRATOR/LICENSEE
Credential:
Phone: 510-205-4216