Healthcare Provider Details

I. General information

NPI: 1568212249
Provider Name (Legal Business Name): SUNDALE CONGREGATE LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 GLENMONT DR
BAKERSFIELD CA
93309-3632
US

IV. Provider business mailing address

1805 GLENMONT DR
BAKERSFIELD CA
93309-3632
US

V. Phone/Fax

Practice location:
  • Phone: 661-381-7375
  • Fax: 661-491-3874
Mailing address:
  • Phone: 661-381-7375
  • Fax: 661-491-3874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARNIE BELLA DELA ROSA
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 661-496-2802