Healthcare Provider Details

I. General information

NPI: 1699695239
Provider Name (Legal Business Name): JD PARAN GUEST HOME II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 NEWINGTON WAY
ELK GROVE CA
95758-4467
US

IV. Provider business mailing address

9458 NEWINGTON WAY
ELK GROVE CA
95758-4467
US

V. Phone/Fax

Practice location:
  • Phone: 916-684-5959
  • Fax: 916-686-9046
Mailing address:
  • Phone: 916-684-5959
  • Fax: 916-686-9046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. JINKY PARAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-257-3484