Healthcare Provider Details

I. General information

NPI: 1184578510
Provider Name (Legal Business Name): ROBERT CREEK VILLA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 ROBERT CREEK CT
CITRUS HEIGHTS CA
95610-0831
US

IV. Provider business mailing address

8135 ROBERT CREEK CT
CITRUS HEIGHTS CA
95610-0831
US

V. Phone/Fax

Practice location:
  • Phone: 916-276-2356
  • Fax: 916-560-3016
Mailing address:
  • Phone: 916-276-2356
  • Fax: 916-560-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: ADINA M SBINGU
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 916-276-2356