Healthcare Provider Details

I. General information

NPI: 1568326940
Provider Name (Legal Business Name): SOREN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 GARFIELD AVE
CARMICHAEL CA
95608-4421
US

IV. Provider business mailing address

2949 GARFIELD AVE
CARMICHAEL CA
95608-4421
US

V. Phone/Fax

Practice location:
  • Phone: 408-239-9059
  • Fax:
Mailing address:
  • Phone:
  • 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: CECILIA SUAYBAGUIO
Title or Position: ADMINISTRATOR
Credential:
Phone: 408-728-1729