Healthcare Provider Details

I. General information

NPI: 1629952049
Provider Name (Legal Business Name): ROBI'S ELDERLY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 ROBERTSON AVE
CARMICHAEL CA
95608-3636
US

IV. Provider business mailing address

5210 ROBERTSON AVE
CARMICHAEL CA
95608-3636
US

V. Phone/Fax

Practice location:
  • Phone: 916-891-5256
  • Fax:
Mailing address:
  • Phone: 916-891-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TIF
Title or Position: OWNER
Credential:
Phone: 916-996-4763