Healthcare Provider Details

I. General information

NPI: 1407784705
Provider Name (Legal Business Name): VARTAS PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 MELVIN DR
CARMICHAEL CA
95608-4927
US

IV. Provider business mailing address

4901 MELVIN DR
CARMICHAEL CA
95608-4927
US

V. Phone/Fax

Practice location:
  • Phone: 916-917-2000
  • Fax: 916-260-2919
Mailing address:
  • Phone: 916-917-2000
  • Fax: 916-260-2919

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: MR. ALEKSANDR SHELUDCHENKO
Title or Position: CEO
Credential: ADMINISTRATOR
Phone: 916-917-2000